I have a mom with a problem that has me stumped.   (Permission to post) 
This mom decided early on to pump and bottle feed,  partially because she had 
overenthusiastic breasts and breastfeeding was  difficult due to the choking 
and sputtering of babe.  I gave her  suggestions about how to decrease 
supply, but she chose this  way....
 
Fast forward several months.  She decided she wanted to  wean off the pump 
by the time she was to go back to work which is first of  September.  
Meanwhile she is pumping about 7 times a day for about 26  minutes per pumping in 
order to empty the breasts.  She had one episode of  mastitis when she 
didn't pump as often as she usually did which scared her to  death.  So we 
started around the first of July with the usual sort of thing  -- space out the 
pumpings.  She couldn't.  So we tried decreasing the  time she was pumping by 
a minute to two minutes a day, and then spacing out the  pumpings.  She got 
down to 10 minutes of pumping, and could go about 6 to 7  hours during the 
day, but not at night because the breasts would get too  full.  She tried 
peppermint, sudafed, cabbage around the clock, icy cold  compresses, everything 
except birth control pills and sage.  
 
As of last night she was running a temp of 100.4, so told her  to call her 
OB.  I also want her checked for a pituitary tumor.  She's  so uncomfortable 
at night she can't sleep -- I had her pumping just to comfort  when she got 
uncomfortably full, rather than going by the clock (we've tried  everything 
I can think of).
 
But she's still pumping out 6 to 7 ounces when she pumps to  empty, and 
still has to take out 3 to 4 to be comfortable.  
 
Where are those FILs when you need them?
 
Anything else I'm missing?
 
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education  Consultants
_www.lactationeducation.com_ (http://www.lactationeducation.com/)  
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