Congratulations on the new grandbaby. In our NICU, we find that having mom  
hold infant skin to skin for at least a couple of hours/day also helps with 
milk  production. She should pump just before and after holding. We are having 
good  luck with hand massage before pumping, double pumping for 15-20  minutes,  
then single pumping with massage/expression to more completely empty breasts. 
We  tell moms that by the time their infant is 2 weeks old, she should be 
making at  least an ounce/hour, i.e, if she goes 2 hours between pumpings, she 
should be  able to express at least 2 oz. I would encourage 3-4 hours sleep at 
night with  2-3 hour pumpings during the day for 8-10 pumpings/24hrs.  
 
Good luck,
Chris Smith, RN, IBCLC



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