How Much Should A Fetal Weight At 34 Weeks Gestation Breastfeeding with Insufficient Glandular Tissue

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Breastfeeding with Insufficient Glandular Tissue

It can be disappointing for some and devastating for others when breastfeeding does not go as planned. In the quest to provide better support and education for new mothers, many breastfeeding advocates understandably focus on the goal of success, particularly with a healthy baby who appears to be nursing well. After all, these are most breastfeeding obstacles is temporary and short-lived. For a small minority of women, however, there are obstacles that no amount of time or effort can overcome.

Insufficient glandular tissue, or IGT, is a rarely discussed condition in which a mother has underdeveloped glands that are therefore less able to produce milk. While many women with this condition also have small breasts, it is important to note that breast size alone is not an indication of IGT and that most women with small breasts produce sufficient milk. Rather, IGT is most noted by breast hypoplasia (asymmetry or underdevelopment that can be assessed by a physician), and many women diagnosed with IGT later report little or no breast change during pregnancy and breastfeeding. Photographic evidence documenting breast hypoplasia often shows visually obvious underdevelopment in one or both breasts, but variations in breast shape can vary dramatically from woman to woman, and the condition is not always visually obvious.

The good news is most women with IGT able to with luck nurse, but in most cases a subsidy is required. Some women only experience delayed breastfeeding, and with sufficient stimulation and temporary supplementation can later progress to exclusive breastfeeding. In a few extremely rare cases, a mother must use formula exclusively.

Here are a few tips if you suspect you may have IGT:

island If you are still pregnant, prepare yourself emotionally and inform your doctor about your concerns. One of the biggest difficulties for women with IGT is the disappointment experienced during the postpartum period of emotions. Many women experience feelings of anger, guilt or inadequacy, especially with the lack of information about IGT. The more you can prepare, the better off you will be.

island If your baby is already born – don’t panic. Remember that most problems with breastfeeding, even those related to poor weight gain, can be resolved and are not, in fact, IGT. Contact a lactation consultant to assess your options and get advice on how to maximize your milk production potential.

island Keep a detailed feeding and diaper log. This information will be valuable for you and your child’s carers to assess when and if subsidies are needed.

island Always stay in touch with your child’s pediatrician.

island Discuss your concerns about possibly having IGT with your OB-GYN and/or lactation consultant. Many women diagnosed with IGT report that no one discussed the problem with them prenatally.

island If you were advised to supplement with formula, do so with confidence. While formula is second best to breast milk, it is a nutritious alternative that babies not only survive on, but thrive on.

island Most babies can adapt to both breast and bottle feeding, especially after the first few weeks. If you are concerned about nipple confusion in a newborn, there are many ways to supplement besides the bottle, including a drop or SNS (supplementary nursing system).

island If you want to continue breastfeeding, always remember to breastfeed first and thoroughly before giving your baby an extra bottle. Some doctors may also recommend using a hospital-grade electric pump to pump after each feeding to ensure the breasts have been thoroughly drained. As long as breastfeeding sessions are as frequent and thorough as a woman without IGT, you will maximize your milk production.

Finally, if you have IGT, stay calm and move on. Whatever you decide, it’s important for a mother to feel confident and positive about her relationships and her feeding choices. Many mothers with IGT go on to have successful and fulfilling breastfeeding relationships. However, breastfeeding with IGT has its own challenges as you cannot enjoy the full benefits of either breastfeeding or bottle feeding and there can be a number of physical and emotional stresses that only you can assess. If you find supplements too impractical for your circumstances and choose to bottle feed exclusively, do so free of any feelings of inadequacy or guilt. As a whole woman and a whole family with different circumstances and needs, only you can decide on a practical feeding plan for your baby that not only nourishes your child, but creates a family situation that is calm, balanced and satisfied. Your baby’s greatest need isn’t just breast milk, it’s that you.

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