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Date: | Mon, 29 Aug 2016 13:12:40 -0400 |
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I have worked with a mom in a similar situation, and her milk production
waned over time while she bf her older baby while waiting for the next
to be born from a gestational carrier. We needed to do a lot of pumping
and initial supplementing at breast. When mothers are already bf a young
infant, it's usually easier for them to expand the production to a
second infant (such as an orphaned nephew or niece). As lactation
"matures" it is harder to expand supply, so I recommend maintaining hers.
I would encourage this mom to keep making at least 28 oz of milk a day
(750 ml). Since she is bf twins, she is likely to still be making this
amount just bf them into their second year. As they start to drop
feedings, she can start expressing. Many moms with well established
lactation manage to keep full production with 5-6 expressions using a
double electric (rental) pump per 24 hours.
Catherine Watson Genna BS, IBCLC NYC www.cwgenna.com
On 8/23/2016 6:12 PM, Holly McSpadden wrote:
> "Also, if there is a third baby it will be adopted or surrogate. Can she keep pumping indefinitely to maintain a milk supply? If so, how many times a day or how much milk would she need to produce daily to maintain it?"
>
> My first reaction was that she induce lactation for the next baby, but has anyone ever had a similar situation?
>
> Holly McSpadden, IBCLC
>
>
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