Carol,
Just some other thoughts. The goal of total "breastmilk removal time"
(pumping, good feeding session at the breast, some combination of both) I
use is "100 minutes per 24 hours". [I am thinking the reference comes from
Linda Shrago, but I just spent 15 minutes looking for the reference & it's
not where I thought it was!!] Lots of breast massage prior to pumping, lots
of skin to skin time whether feeding or not, use of breast compression while
infant latched. (SNS as well, but you've already implemented that.)
Thank goodness she had you to help her and her baby get back on track.
Jean Macomber, RN, IBCLC
Jacksonville, Florida
> ----------
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> Sent: Friday, July 06, 2001 10:51 AM
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> Subject: LACTNET Digest - 5 Jul 2001 to 6 Jul 2001 - Special issue
> (#2001-523)
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>
> ------------------------------
>
> Date: Fri, 6 Jul 2001 10:29:03 EDT
> From: Carol Chamblin <[log in to unmask]>
> Subject: decreased milk volume
>
> I need some suggestions fast!
> I had a consult last
> evening for a client who has a 1 month old and has not had milk
> production.
> She has tried frenugreek and hasn't wanted to try Reglan or Domperidone.
> She
> has been pumping with a hospital-grade electric breastpump 5 times in 24
> hrs.
> Baby is hydrated - whew!
> She'd gotten her pump from a retail site and never
> instructed on its use,
> So, I instructed on proper pumping
> techniques
> What a shame! Instructed to pump at least 8 times in 24 hrs. and to nurse
> baby with SNS at each feeding. Continue fenugreek, although she hasn't
> seen
> much improvement. Any thoughts?
> Thanks!
> Carol Chamblin, RN, MS, IBCLC
> Breast 'N Baby Lactation Services
> Geneva, Il
>
> ------------------------------
>
>
>
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