Jean, I wish I had some brilliant answer for your question. All I can tell
you is I've been seeing and hearing from more and more MOM experiencing this
same problem. Please tell the mother to keep plugging away.

In a message dated 08/28/2000 11:22:41 PM Central Daylight Time, Jean
Macomber writes:

<< Help! I have a NICU mom who had triplets via C-section 17 days ago (they
 were 30wk + 5 days at delivery) and she cannot produce more than 1/2
 ounce of milk per pumping session yet! Many times, it's not that much!
 We started her pumping within the first day. She had a history of 3
 bouts of preterm labor, coming at 21 wks, 28 wks and 30 wks. She was on
 Terbutaline 5mg po q 4 hrs for 10 wks (!) and on Magnesium Sulfate IV
 each time she was admitted for preterm labor--the last time for 3 or 4
 days prior to delivery. She was strictly on IV fluids; nothing by mouth,
 for 48 hrs prior to delivery. (They were trying to hold her off from
 delivering, but I think were afraid she might end up with an emergency
 C-secton so didn't want food in her stomach.) She states no history of
 breast/chest surgery. Did experience breast changes during pregnancy.
 Did not make attempts to express colostrum during pregnancy and had no
 spontaneous leaking. Denies thyroid and pituitary problems. This was an
 in vitro fertilization pregnancy, but she states the reason had to do
 with Dad, not her. She states she pumps every 3 hours (I think she has
 rental pump), drinks plenty of fluid (her swollen ankles look back to
 normal) and gets rest (no other kids at home and she only comes to NICU
 twice a day, being driven by a relative). She is using Mother's Milk tea
 and fenugreek...

 Oh, yes...the babies are doing well for their age. In isolettes, attempt
 po feeds twice a day and I was able to get an order today for parents to
 hold skin to skin once a day. Mild spitting, rare bradycardia episodes,
 most of which are self-correcting. Cute as buttons; one boy, two girls. :^)
>>

 Thanks in advance. This one's keeping me awake at night! >>

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