Jennie,
Welcome to Lactnet. We need to know how old the mother's infant is and
whether she is pumping between or after breastfeeding to know if her
milk production is normal or not. On day 3-5, one or two oz is fine.
There seem to be several windows for milk supply calibration. The first
is on day 2, as noted by the studies you cite and another one by Dewey
(see below). If that fails, mom can still increase her milk supply over
the first 2 weeks postpartum, possibly by the proliferation of prolactin
receptors. Many lactation consultants have found that it is usually
possible to increase supply by intensive feeding and pumping, but it is
easier the earlier postpartum mom starts.
Catherine Watson Genna, IBCLC NYC
Dewey, K.G., Nommsen-Rivers, L.A., Heinig, M.J., Cohen, R.J. Risk
factors for suboptimal infant breastfeeding behavior, delayed onset of
lactation and excess neonatal weight loss. Pediatrics 2003;112:607-619.
Dowling DA, Meier PP, DiFiore JM, Blatz M, Martin RJ. Cup-feeding for
preterm infants: mechanics and safety. J Hum Lact. 2002
Feb;18(1):13-20; quiz 46-9, 72.
Furman L, Minich N, Hack M. Correlates of lactation in mothers of very
low birth weight infants. Pediatrics. 2002 Apr;109(4):e57.
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