Has anyone ever convinced a doctor to prescribe it, or am I going to be
setting myself up for darts?  Have you had success with any other
galactagogue?  Mother's milk pills?

I have a mother, baby almost 4 weeks old, weight 2.9, up 200 g. from birth.
 Sleepy baby, was bf. until recently, with top-off.  Now mother feels
supply dwindling drastically.  Tried 24 hr. diaper count, 1 wet diaper
after several hrs. of bf.  Wet/dirty diaper after every ABM feeding.
Mother is getting a hospital-grade pump, and then I will see her.  I would
like to see if we can get the baby cup-fed.  I asked the mother to keep the
possibility in her mind, and we would see what happens when we get
together.  I wanted to wait until she has pump before I see her because she
hasn't bf any other baby, this is fourth, and I see she is going to need a
lot of hands-on support, and she lives quite a distance away.  In the
meantime I have her giving alternate feeds: All bf for two hours, then ABM
feed, then all Bf again.  She says baby wakes up three hrs. after ABM
feeding.  Should I have her give slightly less and have baby wake up
sooner?  ALso have mother switching sides every time he falls asleep. I am
sure this is behavioral shutdown at the breast, which is why I prefer to
get her cup-feeding.  Last time I tried the SNS it was a disaster and I am
very hesitant to try again.  Anyone succeed in building supply without the
SNS?

How often should I have her pumping once she gets the pump?  I don't want
to tire her out, her husban d is in US on business.

Anyone ever deal with explaining to hesitant mothers why taking baby to bed
is so great for supply?  We have a very big cultural thing against it,
especially because of what's written in Kings.  Any ideas?

Why do they only get to us when it's almost too late?

Nofia
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