Lisa, I've had mothers in other situations (induced lactation and relaction) tell me they were expressing "regularly" or "frequently", and when I have asked for specifics, they think three times a day is frequent. This perception is common. So we then have a conversation about doing it as often as a normal, full-term baby would feed. Before looking for other reasons, it would help to find out how many time per day this mother is removing milk. Frequency of milk removal may require support to do so, beyond the actual information - perhaps a peer counsellor who has also had a premmie or a support group for mums of premmies. Look at improving frequency, but also look at challenges that you'd look at in any mother, e.g. widely spaced breasts with a flat area between them, most of the secretory tissue in the areola, and so on. I'd also ask about fertility issues. Is her baby stable enough for some skin-to-skin. Virginia in Brisbane, QLD ~~~~~~~~~~~~ Lisa Carroll" wrote Had a mom deliver at 31 weeks, according to her she pumps regularly and pump flanges fit, but her production is not going up. She has a hospital grade Ameda. Has anyone had problems with premature mom's getting a full production? Any suggestions would be appreciated. *********************************************** *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome