Mary,
I think her supply IS low. This baby was losing wt in early week(s) and
I feel this is a critical time for establishing supply potential. I
think when supply is good/high, the letdown is much better too.
I would recommend that she continue regular milk expression (make sure
it is a really good pump, btw), with massage, add hand expression after
pumping. Use breast compression when baby at breast. Consider herbs
and/or prescription galactagogue. Would a nursing supplementer work?
Don't know how well baby can make seal, handle the flow, etc. Maybe if
he gets the obturator. Good luck to all.

Laurie Wheeler, RN, MN, IBCLC
Hosp LC
Louisiana Breastfeeding MediaWatch Campaign
Violet Louisiana, USA
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