Maureen writes:
<I work primarily in the NICU setting, where women are looking at what is
coming out of their breasts.  After their milk is in, I teach them to pump
and massage until all of the drops are completely gone for 2 minutes, up to
30 minutes (to give the skin a break). . . . . . .I also have found problems
when someone has mentioned any time limit on pumping of 10-15 minutes.  Many
of these women need more time than that to finish pumping. . . . . I find if
I can catch this problem quickly enough, just increasing the time to
whatever is needed until there is no more flow for two minutes works pretty
well to increase milk supply.>


You did a fine job of making it clear, Maureeen. I wish that all NICU moms
had someone as supportive and well informed as you to help them on the scene
to get their pumping off to a good start!

After I sent that FIL post, it dawned on me that that didn't seem to work at
all when I was staying with my granddaughter in October. The postpartum
state of mind, sleep deprivation and new parenthood quandaries all seemed to
be preoccupying her. No matter how I tried to get it across to her that she
needed to pump more often, she invariably seemed to wait for a signal from
her breasts about perceived fullness before she would think to pump. Fewer
and fewer signals led to less and less pumping, etc.

I wish that I had known at the time Cathy W-G's little trick: put a little
cup with 10 M&M's in it near the pump, and every time she pumps, the mom can
reward herself a bit, and keep track of the daily totals at the same time!

Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton OH USA

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