Magic trick?  Other than turn time backward, so mom can heed the help of
IBCLCs when it was offered way-back-when?  (Ducking, now, from those of you
throwing things at me.)

I'd advise this mother to increase the number of times she pumps per day (5
times a day is pushing the envelope even when supply is adequate ....).
 Make sure she is doing it around the clock ... and not taking too long of
a no-pump-break at night/when sleeping.  Add lots of breast massage
before-and-during each pump session, with hand-expression immediately
afterwards (a la Jane Morton's hand-on-pumping technique).  Skin to skin
for most of those 10-12 hours she is at the NICU.  Have a day or two of
"power pumping" to change things up a bit.  Praise praise praise from the
staff and IBCLCs.
-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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