Hi Debra and all,

Of course, the cornerstone of milk production, and when mothers are trying
to produce more, is "More frequent nursing or pumping." I add to that the
word "effective" breastfeeding or pumping, and that means an effective
latch, often breast compression, and hands on pumping / hand expressing.

My question is about the evidence for power pumping. I've seen the
technique described in various ways, from pumping 10 min on/10 min off for
an  hour, to pumping every 1 for several hours. What I am wondering is if
there is evidence to show that this is more effective at increasing milk
production than the usual regimen of feeding and/or expressing effectively
8-10 x per day.

Personally, I find that many mothers have trouble implementing even the
"usual" measures, when they are trying to deal with a preterm or early term
infant, a baby who is not latching, frequent weight checks etc. Or  maybe
it's a mother who is back to work and that is a realy challenge any way you
look at it. And so I am hesitant to recommend something that has not been
shown to even work. Has it?

Laurie Wheeler, RN, MN, IBCLC
Mississippi Gulf Coast, USA

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