BFAR help please!

[Frangipani Lou]

Thanks guys. I had a reduction 20 years ago so am only producing about 35 ml every 4hrs- about half what DD needs. Bf can take an hour then top ups and burps and resettling up to another hour... Mmmm a tricky one.

[Barb Glare]

Hi, Things will change for you very quickly. Is your baby able to attach to the breast? This probably needs to be a priority and you may need an good LC to help you through. For a baby (and for a mother) breastfeeding is about much more than the milk. It's about comfort, its an experience for mother and baby - a learning experience and a loving experience. Breastfeeding gives you and your baby the right hormones for you to make more milk and for your baby to regulate him/herself.
I would recommend you limit your baby's time at the breast (I wouldn't recommend this for everyone - these are special circumstances) For longterm breastfeeding success you need to keep your baby in love with the breast - teaching her that the breast is for comfort, not just nutrition. So, 10 mins each side, then 10 mins pumping each side - then use the breast to settle your baby if she is still unsettled after that. (Hey you probably have to do something to settle baby - the breast is a great way to do it) Fenugreek, motilium etc will all work to an extent, but nothing will be as effective as your baby at the breast. Have you read Diana West's "Defining your own success - Breastfeeding after breast reduction"?