Sharon Coe,
Re the mom with the low supply and the 6 wk premie twins - you seem to have
just about all the bases covered.  I would add that putting her in touch with
another/other mothers who have been thru same would be very helpful, esp.
success stories.  Perhaps you know of others, or the NICU staff will, or the
local LLLL.  She may not want to go to LLL meetings, as she may feel out of
place, altho she would be welcomed.  She probably needs to ventilate, as to
how hard it is, how sick the kids are, will they ever bf, etc.  Lots of
listening and validating what she is going thru.  You are right that she
should pump more - but whatever she can accomplish is OK - I would approach
it something like "it must be so hard to work those long hrs, then go to see
the babies, and still trying yourself to recover from the births, etc"  "Do
you think you could add a pumping session during the week or weekend?" (even
adding one daily may be too much).

Hope this helps,
Laurie Wheeler, Rnc, Mn, Ibclc
Former NICU Nurse/BF Counselor


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