I've been so busy lately, that I've only read Lactnet sporadically, and not
posted in a long time.  Hoping to find some info for a situation I
fortunately have not had a lot of experience with.
A friend, who is one of our labor and delivery nurses, conceived triplets
with IVF.  They were born today, unfortunately, at 25 weeks 4 days, due to
preterm labor and chorioamnionitis.  They are all very sick, and on
high-frequency ventilators.  They are girl, boy, girl - 680 gm, 720 gms, and
780 gms.  I talked to mom this afternoon, and she was feeling shell-shocked,
but has started pumping and is hoping to provide milk for these babies.  She
had pumped twice when I talked to her, but got just drops each time, not
even enough to collect with a syringe.
What can I tell her to expect as far as production with this early a
gestation?  And would she be better off to hand express early on, or pump,
or both maybe?  Can she expect a decent milk supply, or does being this
early affect supply?  I spoke also to the neonatology fellow who was very
glad mom was planning to pump, but I don't know how much support she'll get
there.  She will be home from the hospital, obviously, months before her babies.
Thanks in advance for your advice!
Jennifer Tieman
Family Physician
Mom to 4, including nursling Caroline Rose born 5/31/03

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