I really believe that we need to give moms the correct information no 
matter what it is. Presented respectfully. But also tell them how they 
might overcome their issue or challenge should they chose to do so. I 
say this from being on the opposite side of the question sometimes. I 
get a lot of moms asking about relactating or wanting to start pumping 
for a premature baby after 7-10 days of doing nothing (no breastfeeding 
or no pumping). I find that hospital staff builds up how easy starting 
to pump this late is going to be. They seem to push that the free pump 
from WIC is the answer. I have learned that moms deserve a full answer 
or education on how the breasts make milk and what relactation involves 
work-wise. I used to just encourage them like a cheer leader but I then 
saw how disappointed and discouraged moms were after even so short as 2 
days when they were not making milk instantly. How most quit before a 
week was over. When I started giving a full answer, with the pros and 
cons, and milk supply information, the ones who actually choose to 
initiate a milk supply this late have more confidence and are willing to 
put effort and commitment into a plan of action. Rather than thinking 
how easy this will be and then being disappointed or angry at their 
bodies not cooperating. At least they know how and why the body makes or 
doesn't make milk. So maybe next time will be different.

Kathy Eng, BSW, IBCLC

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