I am working on getting my LC certification, so that I can 
primarily "specialize" in helping our premie/ill babies/moms have the best 
nursing experience that they can have.  I am an RN and work in a Level II 
at a hospital that just within the last year has decreased its' gestational 
age level to 32 weeks.  Our LCs have dealt primarily with term, healthy 
babies, or 35-36 weekers, but are a bit hesitant when it comes to working 
with the younger, and smaller babes.  I work with these mothers a lot (I 
work 7a-7p) and am sometimes the one who helps with the first attempt at 
breast.  I am looking for any information, tips, tricks, etc., that I can 
share with my co-workers, to help them become more comfortable with helping 
these moms/babes.  I am a former NICU mom myself, delivering at 32 weeks 
and having a son who was very sick with GBS and bronchopulmonary 
dysplasia.  I never had problems with my milk supply (I had a high 
prolactin level even before pregnancy)and had quite the supply.  He was 
able to get over 6 months of breastmilk, but I had to continue to pump as 
it was harder for him to nurse (I know - doesn't make sense) but could take 
a bottle without increased effort.  So I understand a lot of the issues 
with long-term pumping and the frustration of not being able to pump as 
much as I needed to while at work to maintain my supply for a longer time.  
Also, just recently I was told by a co-worker that for our premie moms who 
are having supply issues, that it is because mom isn't "supposed" to be 
making milk yet, because the baby was so early (tell that to the 
micropremie moms filling up freezers!).  I know premie milk is a different 
composition than term milk, because it is easier for them to digest at that 
stage. So any supportive information I can get to help her to understand 
the fallacy of this thought would be helpful.  Sorry for getting long-
winded! Thanks! Brenda

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