My question has always been - how does a pump, any pump, know that a mother
is pumping for a single, twins, triplets, or more?  It doesn't.  I would
say that this mother is probably doing the maximum given that she is
pumping only.  I assume she is not yet putting babies to breast?  The only
way she might begin to increase her milk is to do lots and lots of skin-to-
skin with all the babies to help increase her hormone levels.  ASs babies
begin to nurse, this should also help increase milk production.  I would
offer this mom lots of encouragement/reassurance/support in her efforts.
Remember, Reglan is not recommended for long-term use, which is what this
mom may need if she is going to resort to drugs.

Pam Hirsch, RN,BSN,CLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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