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I have been assisting a woman who's 4 month old baby is in his 3rd week of a nursing strike.  It began with a cold.  Mom works full-time and baby is fed the Breast Flow bottle while she is at work.  Her supply has never been great and she always wears a nipple shield.  The nipple shield was being placed on the breast correctly.  Any feedback and information is appreciated:

Things we have tried:
1. cosleeping at night skin to skin from waist up
2.  feeding at breast while the baby is groggy
3.  tube and syringe at the breast
4. with the shield- without the shield
5. take a rebirthing bath while her spouse is present

My advice has been to try, try try but stop if the baby gets upset- the breast should be his "happy place".

I have tried the following things to increase her supply- she pumps 10-15 oz day over 5 pumping sessions:

1.  pump more frequently
2.  use her hospital grade pump for all pumping.  (She had been using a lactina at home and a ME pump at work)
3. Fenugreek- 2 capsules 4x day.  Her brand includes blessed thistle.
4.  Hands on pumping using Jane Mortons technique
5.  hand express whenever and wherever she can- (I heard this at a Dr Jane Morton talk as a way to increase supply.

Since I began working with her a week ago- She has had a minimal increase in supply 1-3 ounces a day.  The baby has taken the breast on occasion for a few minutes.

Thank you!
Lisa Haughey RN BSN IBCLC

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