Again I am appealing to the collective wisdom of this knowledgeable
group.

Spoke to a mom today who has recently noticed that she is pumping about
half the amount she has been able to express.
Baby is 4 months old.  Mom went back to work at 6 weeks post-partum.
Her pattern is to nurse morning and night.  Pumps every 3 1/2 - 4 hours
at work.  Baby sleeps through the night, but mom does pump once during
the night.  Has recently started cereal morning and night, but is only
giving about  1 tbs.  She usually nurses baby prior to giving cereal.
Denies unusual stress, meds, pregnancy, and has one period since
delivery.  Has a good quality pump (new with this baby) and describes
adequate fluids.

My advise to her was:  Nurse rather than pump on the weekend and try n/a
beer.  Any other ideas other than herbs, reglan or domperidone?

TIA,
Judy IBCLC
Upstate NY

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