“Too Much”- Managing Oversupply (SOYS)

Gloria Dudney, RN, BSN, IBLC, RLC

Gloria has been practicing maternal/child nursing for 30 years. She has experience in levels 1 & 2 newborn nurseries in Texas and Tennessee. She served 24 years at a private pediatric practice, where she launched the region’s first primary care lactation clinic. She now serves as director of lactation for East Tennessee State University Health.

Based in the Department of Obstetrics and Gynecology at Quillen College of Medicine, Gloria has pioneered an innovative prenatal lactation education program that includes patient care and OB resident training. She is also leading an expansion of lactation consulting services and resident physician training to both the Pediatrics and Family Practice departments.

Gloria authored the book entitled “Mommy-Friendly Breastfeeding” and speaks on various topics related to maternal/child health. Her vision statement is, “If mom’s OK, everybody’s OK.” Her mission statement is, “Make mom OK.” She is married to Bo, and together they have 4 children and 7 grandchildren.

Gloria_Dudney

Too Much

In the attached publication, Gloria Dudney, RN, BSN, IBCLC, RLC discusses the phenomenon of functional lactose overload–an imbalance of lactase and lactose–in the infant gut.  She reviews management strategies for symptoms resulting from “too much of a good thing” in fussy breast and formula-fed infants.

Key takeaways:

  • Having too much breast milk production can be equally distressing to families as not having enough milk
  • Lactose plays an important role in newborn growth and development and its content in human milk is second only to water
  • Logical breastfeeding strategies like encouraging a mother to allow her baby to nurse the first breast until fully-softened, rather than nursing for a prescribed number of minutes can decrease symptoms of functional lactose overload
  • Short-term management strategies also include reduced or lactose-free formulas or lactase supplementation
  • Lactose intolerance and cow’s milk protein sensitivity share a few symptomatic similarities, but have entirely different management strategies

Read TOO MUCH OF A GOOD THING? Balancing lactose and lactase in fussy breast and formula-fed infants. 

READ THE ARTICLE

References

  1. Lawrence RA et al. Breastfeeding: A Guide for the Medical Profession. 8th ed. Elsevier/Mosby; 2015.
  2. Hammer H et al. Lactose Intolerance: Clinical manifestation, diagnosis, and management. 2018. https://uptodate.com. 2018. Accessed 6-13-19.
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  12. Douglas P. BMJ. 2011;343:d7772. doi:10.1136/bmj.d7772.
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  15. Smillie CM et al. Newborn Infant Nurs Rev. 2005;5:49-58.
  16. Dudney G. Mommy-Friendly Breastfeeding: Logical solutions for challenges and encouragement for enjoying your baby. 2018.
  17. Morton J et al. J Perinatol. 2012;32(10):791-796.
  18. Kanabar D et al. J Hum Nutr Diet. 2001; 14:359-363.
  19. Wilson-Clay B et al. The Breastfeeding Atlas. 2017:87.

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