Nancy,
It sounds like this mum is doing pretty well. I would suggest that
continuing to encourage the baby back to the breast is time well spent
because it's much much easier to breastfeed frequently than to pump
frequently! I am sure that some others here will have lots of suggestions
for this but I would probably start with just encouraging lots of skin to
skin and maybe some cobathing (this will also probably assist her milk
supply). It would also be better if she could fit in more pumping (1 or more
if she can handle it). Is she hand expressing after pumping?? Getting that
last bit of milk out can make a big difference to getting more next time.
Has she worked out how to pump hands free?? That can make a big difference
to the tolerability of pumping so much. How much is she pumping each time?
As with everything the mum should only try to do what she can live with, the
ideal is no good if it is intolerable.
There is a story in the new ABA Relactation and Adoptive Breastfeeding
booklet from a mum who sounds like she was in a very similar situation. Last
baby, previous others bottlefed, busy house (this mum also had a husband
with a significant disability) and she could not just drop everything to
concentrate on relactation but she got there in the end. Is now a trainee
ABA counsellor. The booklet can now be purchased from LLL, might help this
mum
http://www.lalecheleague.org/Web_store/web_store.cgi?product=Special%20Situations&cart_id=1557934_27023

Good luck to this mum. She's lucky to have you to support her.

Karleen Gribble
Australia


 I am working with the mother of a nice week old.Mom says she had a good =
> milk supply when the baby was a newborn, and experienced engorgement.  =
> In the hospital, mom had cracked and bleeding nipples and started the =
> baby on supplemental bottles.  By the time I saw her, the mom had =
> stopped pumping for several weeks and baby was fully formula fed.  baby =
> wouldn't even try to latch at the breast no matter what inducements were =
> offered.
>
> Mom would like to get her milk back.  She has been pumping 5 times a day =
> (not at night) for a week.  She is now producing 2 oz a day (24 hours).  =
> A week ago she couldn't get anything at all from the breasts while =
> pumping.
>
> Two ounces in 24 hours doesn't seem like much, but I don't know how long =
> it takes to bring in a milk supply.  Is this a good start at relocating? =
>  I did recommend pumping once in the night too.  How much milk should =
> this mom be producing at this point?   Is it possible that she can =
> increase her milk supply?
>
> She has two older children and was not able to breastfeed either of them =
> "not enough milk".  Her breasts looks "normal" to me, but were soft and =
> not lactating, so it is hard for me to say if there is a problem.  Mom =
> says her thyroid is fine. =20
>
> She is 40 and this is her last baby, so she would like to be able to =
> provide breast milk even if she may not be able to get the baby to =
> nurse.  I have suggested that she offer the breast after feeding the =
> baby as a pacifier to help the baby become comfortable at the breast and =
> to stimulate mom.  She says "no, I am not going to give the baby a dry =
> breast to suck on".
>
> Help!  I'm stuck here and don't know where to turn for answers (except =
> here of course).
>
> Thanks,
>
> Nancy Sherwood
> BA, IBCLC, LLLL
>
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> End of LACTNET Digest - 20 Apr 2005 - Special issue (#2005-477)
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