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From:
Liz Brooks <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 9 Feb 2002 16:42:55 -0500
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My search of the archives yields dozens of lovely posts about the use of
various galactagogues -- but none seems to address my query.

Usually when I see a mom with low supply, the "culprits" are readily
apparent:  mom hasn't been pumping, hasn't been pumping enough, hasn't been
using a decent pump, hasn't pumped when [formula] supplements were offered,
etc.

When I give Mom some instruction and information about the mechanics and
physiology of double-pumping with a hospital-grade pump (and assuming she
follows the care plan), Mom's supply happily starts to creep up -- often
after 24 or 36 hours.

My question is:  when do you say to yourself, as an IBCLC: "this
double-pumping tactic is just not doing the trick.  Maybe Mom should try
[insert galactagogue of choice here]."

Now -- I don't want to start a thread here on which galactogogues work best,
and why.  What I want to know is:  when do you start advising your moms to
use them, if at all?

My theory in not suggesting galctagogues at the outset is that I don't want
to overwhelm Mom with a care plan that is just TOO MUCH.  It is tough enough
for many Moms to sit down to double-pump after a (frustrating) nursing
session.  But I wonder if my method needs revising.

<br><br><br>Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA


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