Joan

It's good to hear of your daughter's success in exclusively pumping for her
first, and now her second baby.

I have had a couple of clients like your daughter who, for whatever reason,
decided to exclusively pump for their babies, and who did so with the kind
of success your daughter is experiencing. I think the trick to maximizing
storage capacity of the breasts is to get off to a really really good
start, avoiding any kind of over-fullness or engorgement - ever!  To begin
with they would pump 10-12 times a day.  By about 3 or 4 months, when their
milk supplies were really good, they were down to pumping only 3 times in
24 hours, obtaining >250ml each time, ie producing 750-800 ml in 24 hours,
and dividing that into the number of feeds the baby needed per day.

My suggestion to your daughter would be, try reducing her pumping sessions
to 4 for a couple of days and see what happens.  If she finds her total
output dwindles, or if she becomes too full, she could revert to her usual
pattern to bring it back up again (either now or any time in the future).
But in view of this brilliant beginning I would think there's a fair chance
of success.  Best wishes to her.

Pamela Morrison IBCLC
Rustington, England
------------------------------------------------------

My daughter is exclusively pumping for her 3 month old.  She pumped
exclusively for her first child for 11 months.  She was unable to
breastfeed due nipple pain that was unresolved.  Happily she produces a
good quantity of milk quite easily. Currently pumping 5 times a day and
producing 8-9 ounces in 15-20 minutes.  She hasn't had any issues with
engorgement or clogged ducts.

Since she has gone back to work she is wondering if she could go down to 4
pumps a day at some point.  Her plan is to gradually eliminate the
afternoon pump.

Does anyone have experience with going down to 4 pumps per day and
continuing to produce enough during the first year?

Many Thanks,
Joan Greenberg RN, IBCLC
Brooklyn, NY
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