<Rachel writes: her milk supply was not sufficient to both feed the baby
 and stock the frig.>

>> My usual suggestion to a typical mother who is planning on going back
>> to work after her typical US maternity leave  is to focus on getting 
>>  >>breastfeeding going well. After that, if  everything is going well, and 
>> she can >>coordinate it, I suggest that  she can pump on one side while 
>> she feeds the >>baby on the other. Alicia Rudin

<<As for the plan of BF on one side and pumping on the other, this can 
result
in the baby not being able to eat enough and can actually create a decrease
in the milk supply.
Ellen A. Steinberg,>>

> I don't understand how it would decrease production; would think the 
> increased milk removal should result in greater production within a very 
> short time. We know many women with twins and triplets can fully BF if all 
> babies are able to BF effectively; production increases related to 
> "demand" via milk removal. And there is research that supports double 
> pumping (at least post-lactogenesis II) as resulting in greater overall 
> milk volume than serial/single-sided pumping. Would think this akin to 
> direct BF on one breast while using a breast pump for the other breast...
> Karen Gromada

I was confused about this too.  I think that what was meant was that the 
supply would decrease for the next feed, or that day - short term, because 
some of the milk produced goes into the freezer rather than the baby?  But 
since the mother is not yet separated from her baby, she can easily feed 
more often to compensate, and the supply overall will increase.  I also 
suggest that moms going back to work stockpile some milk a few weeks in 
advance, and that expressing from one breast while nursing at the other is a 
practical way to do this.  I found that when I was in this position, I had 
difficulty expressing because I was too tense to get a let down when I tried 
to between feeds.  It worked well to express while I gave the early morning 
feed.  The feedback I've had from mothers has been positive too.

Nan Jolly M.B. B.Ch. LLLL
Port Elizabeth, South Africa 

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