Dear Fellow Professionals:
I have a problem that I need help with.  A working mom who travels is using
an electric breast pump while at work that her company supports and
encourages.  Her baby is almost 5 months old and just last week she is
unable to get a let down or a milk supply for the first feeding in the
morning.  She breastfeeds the baby at 9:30 p.m. and they both sleep through
the night.  In the morning, she wakes up to feed the baby at 6:00 or 6:30
a.m. and there is no breast fullness, no let down, the baby sucks and
nothing comes.  When she showers and then tries, still nothing.  This first
occurred last week  while she was traveling and pumped for all feedings, but
got nothing in the morning.  About two weeks before this happened, she went
from pumping two times a day (@10:00a.m. & 2:00 p.m.) to only pumping at
10:00 or 10:30 a.m.  She also started baby on solids of baby cereal about 3
weeks ago.  Mom says that by 10:00 she is full and can pump 8 oz., and has
plentiful supply for the two evening feedings at home.  She is feeling very
guilty and getting anxious about this a.m. feeding, afraid that no milk will
come.  What can I tell this mom to help her out?  Thank you for your help.
Sincerely,
Fran H. Jaffe, MPH, RD, CLE

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