Tricia,
Could mom try pumping at a neutral place - a friends house perhaps - to break the "can't get any milk out" cycle?

Gail Hertz, MD, IBCLC, FABM 
Author of The Little Green Book of Breastfeeding Management
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> On Jul 3, 2014, at 12:22 AM, the juliest person you know <[log in to unmask]> wrote:
> 
> "I hoping someone might have some help for a first-time mom who called me with pumping issues. I have permission to post. She started back to work last week, infant is 7 weeks old. She has been pumping for the past 2 weeks at home with a new Medela Advanced pump. She was getting 3-4 ounces at pumping at home. Infant has been exclusively breastfeeding, gaining well. She has some milk stored up at home now. Baby nursing well at home. But she is unable to express milk with the breast pump at work. She states that she gets only drops of milk at work. At home she seems able to pump 3-4 ounces. I'm thinking it's probably due to stress of going back to work, leaving baby, maybe anxiety about pumping at work? I thought it would get better over time, and suggested hand expression and relaxation techniques. But after a week she is still unable to get more than a few drops at work. Any thoughts?
> 
> Thanks for your help,
> 
> Tricia Shamblin, RN, IBCLC"
> 
> 
> Some ideas that help some moms with pumping: 
> Look at a picture of Baby while pumping
> Bring a shirt that Baby wore recently and smell it before and during pumping.  Smell is very powerful.
> Take a video with sound of Baby and watch before and during pumping
> Or just record the sound of Baby crying and listen before pumping
> Sniff a bottle of the same scent during pumping at home and pumping at work, such as vanilla or cinnamon
> Changing posture may help.  Is she using a different posture at home as at work?  
> And don't look at the bottles during pumping to eliminate the stress of seeing nothing in them. Cover them, if necessary.
> 
> What kind of work does she do?  Where is she pumping?  How much time does she have?
> 
> HTH,
> Julie Tardos
> 
> ====
> Gold were as good as twenty orators,
> and will, no doubt, tempt him to anything.
> Richard III, act IV, scene II
> 
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