Well, this is my week of hard cases, where you think "Can't I help anyone 
anymore?"
I am working with a mom who has had a non nursing baby for the past 10 
weeks.  He had tongue tie taken care of, but still does lousy at breast and 
often at bottle also.  Anyway, I referred to CST, all other medical turned 
out fine, and she is seeing improvement, but slowly.  Her problem is as 
follows.  He is eating 120 cc per feed.  Overall in 24 hours, she is getting 
enough milk for him, but not every 3 hours.  She is already on Domperidone, 
90 mg, pumping with a Lactina which is the best pump available here in 
Israel for rent.  She is pumping every 1 1/2 hours to get to the amount she 
needs.  She feels that because he is improving, if she was just full of at 
least 100 he would do better, but because it is always in such small 
installments, he gets tired and doesn't bother.  There have been times with 
this child that she has pumped 150 at a sitting, so this rules out storage 
capacity.
The only thing I can think to suggest for baby is feeding tube with extra 
milk as supplement.
Why can't she get more out at once?
Herb experts, what about herbs for letdown?  Maybe the long weeks of pumping 
has kind of shut her body off....
Help!
Jessica Billowitz, IBCLC
Israel 

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