Pardon me if I seem to have missed something here. Obviously I need to study this prolactin issue more. I know for most moms, supply is directly related to frequency / duration of feeding or pumping. WHY do some moms, whether feeding directly or pumping for a preemie, seem to produce unreasonable volumes? It seems unrelated to breast size / volume or to frequency or duration of feeding / pumping. And WHY some of my NICU moms seem to respond to Reglan with higher production & that production drops when Reglan is discontinued? Of course I stress with them the importance of regular, effective, thorough pumping as the primary means of increasing their supply. We suggest Reglan only after they inquire about supply problems, often after 3-6 weeks of pumping. These are usually the moms of babies who do not yet go to breast or who have insufficient transportation options to get to visit baby with any reliability.
Can anyone send me to resources to study so I can bring myself up to date? Thanks.
--- Phyllis Adamson, IBCLC
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