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From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 31 Oct 2004 01:12:29 +0000
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Dr Jen

I have seen it go both ways. I have seen moms in this situation w/ good
supply and those w/ very low supply. Her best chance is to get started right
away and do very frequent expressings, 8 or 10x in 24 hrs. I usually get
more w/ hand expressing at first, but moms seem to prefer to put the pump
on. I would ask her what she would prefer. In the interest of time, double
pumping seems to be the fastest. I would recommend she rent a Medela Classic
pump. In my experience it yields the best volumes. I have no experience yet
w/ the Symphony nor the Ameda pumps in this class.
I would feed mom well and give her plenty to drink (not that this makes more
milk but I feel it will give her the best health and I think that can have
an effect). Be ready w/ herbs and/or galactagogues like domperidone if you
are using them, and start by the end of a week if supply is not going up
well.

Encourage her, as I know you will, as the babies will need very little to
eat at first, so for now she should be able to provide. Perhaps they are NPO
now and she can get a little head start. I would harvest any and all drops
of colostrum w/ a little sterile water or sterile D5W so the babies can get
this. Sometimes the neo docs will let the babies take the little drops of
colostrum as lip/mouth care, just give them a little swab.

I would suggest kangaroo care whenever/as soon as possible.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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