Paul,
Welcome to Lactnet.  Your care plan looks terrific. You've obviously
done your homework.

You asked:

> 1.  Are there any other nonpharmacological means of increasing milk
> supply?
> 2.  What experience is there with the use of Reglan and increased milk
> supply?
> 3.  Any other suggestion for this situation?

Reglan does seem to give milk supply a boost.  As a temporary solution,
it can be quite beneficial. My experience with it, however, hasn't been
positive.  Reglan can cause nasty side effects in some women.
Nightmares, anxiety, feelings of paranoia.  Not very pleasant for a
woman who has a baby in NICU.

Check the Lactnet Archives for Fenugreek.  That and Blessed Thistle have
worked well for many women for increasing milk supply.

Your suggestions of skin-to-skin contact are excellent.  If she gets to
hold her baby often, she may find she pumps a little more milk right
afterwards.

The next step is to be sure she has the support of the lactation
consultant in that hospital to encourage direct breastfeeding as soon as
possible.  It would be a shame to encourage simple milk delivery without
supporting direct breastfeeding.

The mother should be given the information on both herbal and
pharmacological methods of increasing milk supply.  The decision is hers
and her doctor's (neonatologist).

The mom is lucky to have such a good advocate.  Good luck with the rest
of your studies.


--
Jeanne Mitchell, LLLL, RN, IBCLC
Austin, TX
"Be kind, for everyone you meet is fighting a harder battle."
Plato