Lu asks,


> .  If baby/babies are breastfeeding
> WELL, do you initiate pumping post feeding to maximize prolactin receptors?
> After every feed, every other feed, 3-4 times in 24 hours?
> Do you recomend pumping in the first 24 hours post delivery, after 48
> hours,
> or after the milk is in?
>

No.  Not at all.  First of all, if the baby is breastfeeding WELL, why
interrupt with something mechanical.  It tells the mother that the baby isn't
enough -- she needs help.  If there is something in her history that might
suggest that there will be insufficient milk supply, or if the baby isn't
breastfeeding well or often enough or there is something else going on, then
I might suggest supplemental pumping.  But not usually, and not often.  I
want mom & baby leaving the hospital as a breastfeeding couplet, looking at
bf as normal -- and not needing (in the norm) extra help.

Jan Barger, RN, MA, IBCLC -- Wheaton IL
Lactation Education Consultants
www.lactationeducationconsultants.com

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