I am responding to the part of your post that asks about increasing milk 
volume with pumping. I have been doing alot of thinking about this subject 
because so many women ask how to increase the milk volume when they pump. 
I always like to think of how animals and babies stimulate milk supply and 
volume and I think one area we need to focus on is breast massage before 
pumping. Babies hold their hands on the breast and kneed it as do kittens 
(that's why cats kneed us!). I think this stimulates not only let down but 
milk production during the feeding. When a mom pumps, she is often pumping 
with what I call a "cold start", no stimulation. I am telling moms to not 
only relax, but to do breast massage for several minutes prior to pumping. 
When mom does the massage, she should visulize her baby's hands kneeding 
the breast, and have a blanket or something with the babies scent. I have 
seen women from other countries, Cuba for instantce, that do alot of 
breast massage, even when they are not nursing. They seem to have a large 
milk supply, however some of the supply seems to be from the special diet 
they eat.

When doing massage during pumping or feeding, I like to apply compression 
just behind the duct.

Just a thought. I would love to hear what other lactneters have to say 
also as I am updating my pumping handout.

Bless all of you in your work with new families,
Sandy Wesorick RN IBCLC
[log in to unmask]
www.breastfeedingguide.com

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