Katherine in atl wrote:
<<It makes me wonder if this is really the solution it seems to be
(pumping following feeds, then feeding pumped milk)....keeping in mind
that without exception, these mom's all told the LC's that this sounded
like a good plan of action and were willing to follow it.  Certainly
it's appropriate at times, but it's starting to seem to me like this
route is also overused, when it would be possible (in *some* cases) to
simply have mom nurse...then nurse again (instead of giving the
supplement after nursing).>>

This is a common protocol around here as well when there are concerns
about a mum's supply or if baby is not nursing too well at the breast
for whatever reason. Nurse about 20 minutes, pump about 20 minutes,
supplement baby with pumped milk. This is a scenario I have a lot of
trouble counselling mums with, lacking experience dealing with it. What
scenarios would this be appropriate for and when would the nurse, nurse,
and nurse more fit in? What if the mum nurses for 20 or 30 minutes and
baby is getting frustrated at the breast? At what point can you quit
supplementing and just go for having the baby at the breast? I've heard
and read that the whole nurse, pump, supplement scenario should take
about an hour or the mum can get overwhelmed with constantly feeding a
baby who ca't seem to get enough at the breast just yet.

Donna Hansen
Burnaby, British Columbia
Canada

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