>Ladies,
>I have permission to post from a mother P2/G1 who delivered vaginally 12 
>days ago and has yet to go through lactogenisis II.  No breast changes  during
>pregnancy, normal shaped B cup breasts, not widely spaced,  symmetrical.
>Mom produced colostrum and milk is now white and thin.  She never had  any
>breast fullness.


None of those points indicate no milk production, though.....mature 
milk is 'white and thin' and some mothers simply don't experience 
extra breast fullness at the start.  However, it may well be the case 
she is not producing enough, but not because she didn't go through 
lactogenesis 2.

>  She has been taking fenugreek since day 10 post  partum and
>has not seen any rise in production.  She is putting baby to  breast at each
>feed (Q 3-4 hours) and supplementing with 2 oz of ABM.


This means the baby is having 14 ounces of ABM a day, which is *a 
lot* - enough to interfere quite a lot with what the baby is 
stimulating at the breast. This in itself will be depressing milk 
production.

>  She  is pumping Q 2 hrs.


Can she not give what she expresses to the baby?

Perhaps this mother will be helped by a careful observation of what 
happens at the breast, to check if millk transfer can be improved. 
Feeding 3-4 hourly is very infrequent for a breastfed baby of 12 
days, so her feeding frequency needs to be majorly increased.

She has probably been a bit freaked out by the lack of breast 
changes, if she associates this with milk production, and her 
confidence will be low.

Heather Welford Neil
NCT bfc, tutor, UK

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