Most moms with reductions do need to supplement, but many make surprising amounts of milk given the right stimulation. Sometimes I recommend "super pumping" for moms with very low milk supplies and non-latching babies. Super pumping means setting up the pump in a convenient area, and using it everytime she passes it, say 5 mins or so out of every 45-90 minutes. This pushes up her prolactin level, and can be really helpful. To make it feasible, I recommend she cover the pump kit with a clean towel between uses, and clean it (the kit) every 4 hours or so. If the baby is medically fragile, this might not be good advice, and you might want to supply the mom with several kits instead, so she can change them and then wash them all at once. Once she gets the baby to breast with a lact-aid or sns, she will probably get more milk. How much milk is enough is up to her. You are not promising her a full supply, but there is hope she will make more with more intensive stimulation, if she can manage that. She can also try goat's rue, it's a tip I got from Lisa Marasco, and some of my clients think it has been helpful. Domperidone is another alternative, again, depending on the baby's condition. -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask] *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html