Dear Fellow Lactnetters, Would appreciate your input on increasing milk supply for a mom with a 7 day old infant who had lumpectomy for breast cancer in 2000 with radiation and chemo. The treated breast, R., is not producing and did not undergo changes as her L did during pregnancy. Initial supply on functioning breast produced infant wt gain WNL but then faltered with infant wt loss so currently supplementing at breast with EBM and ABM as what she can pump is inadequate-20-30 cc an hr after breastfeed. I have her using a Medela Lactina but only puming on L, single pumping. She's only been doing this for past day and a half so perhaps there just hasn't been enough time to ascertain possibility of increase but I don't want to let too much time go by if there is something that can be done to more rapidly increase. Baby was jaundiced peaked at 16 or 18, can't remember exactly but since int ake increased with supplementing, bili going down. This seemed to effect his sucking as he's somewhat better, more efficient at beast, and definitely more alert. He was small at birth, 63, 4 oz at 40 wk gestation and a slow feeder needing lots of stim/breast compression to keep BF with milk transfer; he fed fine with supplement at breast, tho, good rhythmic swallowing, coordinated. This is what makes me feel if supply can be brought up he'll do fine; some fine tuning over time will probably be needed, I realize. So, is there something in regard to pumping that could yield more milk? She's on More Milk Plus, we've discussed Goat's Rue and Domperidone, as well, and come tomorrow will see if one of these indicated. I suggested moist heat while pumping and this am suggested stimulation of L nipple as well as R (functioning) prior to pumping to elicit MER. I have her pumping for about 5 min immediately post feed to "empty" breast and then a more thorough pumping of 10-15 min an hour later per Hartman's newer info re milk synthesis. Would double pumping provide more stimulation thus increase in output even tho R breast non functioning? This thought nags me as I've seen moms who single pump increase dramatically with double pumping. Mom did say she had sensation in R nipple/areola and so my suggestion to stimulate both nipples prior to pumping. Baby, by the way, on Fri eve able to get 34 cc after an hour of intermittent breastfeeding with much breast compression and stimulation/relatching to keep feeding. Sorry so long but thanks for any suggestions-just don't want to miss something she could be doing. The other factor we've discussed is that since her baby's birth he's had to be seen by pedi for wt and bili checks daily so ppoor little guy and mom have been under a bit of stress, to say the least. Skin to skin is always in use. Barbara Latterner, BSN, RN, IBCLC Brewster, NY *********************************************** 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