Hello.  I did an archive search, but need more info.  I have a mom to be with 
2nd child. Reduction surgery 11 years ago. Tried to breastfeed 6 weeks with 
first baby, but had no information and supplemented since birth. She has been 
doing a lot of research this time. Has read info on BFAR and other related 
sites. At the ILCA conference there was mention of pumping before birth to 
help with supply later--also to collect colostrum in case supplementation is 
necessary. This mom is willing to pump before birth, but I wanted to give her 
more info before she does.  

How many weeks before birth should she start-she is 7 months? I mentioned 
to pump only once or twice per day. Can she freeze any milk she collects to 
use after birth if needed? I know this is one of those topics that has mixed 
reviews.  I guess what I am asking is: as an LC can I tell this mom that it is 
okay to try pumping or am I stepping over the line and recommending 
something that needs further study before becoming a recommended practice? 

I also read in the Lactnet archives about hand expressing before birth.  Would 
this be a better way to provide stimulation to breasts before birth? Thanks.

Christine, IBCLC

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