LLL has an awesome book called "Mothering Multiples" which might have some
info for you.  Our local multiples support group recommends pumping after
every feeding to ensure an adequate supply, yet I know of many cases where
mothers didn't do that and did just fine establishing a supply (and the
mothers who did often quit in the first two months because it is just too
much work to be feeding and pumping twins).  The Breastfeeding Answer Book
does not recommend after-feed pumping; instead, it notes that simultaneous
nursing of the multiples will increase prolactin levels more than separate
nursing.  Lots of resources listed; check <www.lalecheleague.org> for online
articles or ordering.

New LLL book "Defining your own success; BFAR" (may not be an exact title)
is an excellent resource for post-breast surgery mothers.

Michelle Bentley LLL, CLE

----- Original Message -----
From: "Lu Bush" <[log in to unmask]>
Sent: Saturday, December 22, 2001 2:25 AM
Subject: Pumping Why and When


> I am looking for current practices concerning initiating pumping for
> multiples, augmentation and reductions.  If baby/babies are breastfeeding
> WELL, do you initiate pumping post feeding to maximize prolactin
receptors?
> After every feed, every other feed, 3-4 times in 24 hours?
> Do you recomend pumping in the first 24 hours post delivery, after 48
hours,
> or after the milk is in?
> Do you have concerns about "super stimulation" causing increased
engorgement?
> Do you treat augmentations and reductions as equally at risk for reduced
milk
> supply?
> I have searched the literature and the archives, and find pumping
guidelines
> only when the baby is not at the breast, or lack of milk transfer/removal.
I
> have not found the pumping "proactively" recommended in my readings.
> I am researching for updating current policies, and practices.
> Thanks,
> Lu Bush
> Texas
>

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