I have been working with a Mom who had triplets at 31 weeks gestation. Her history is -In vitro after 5 years of trying to get pregnant, bedrest for at least 10 weeks,  Unremarkable planned cesarean birth, started pumping within 4 hours of birth. Mom has small breasts with some breast changes during pregnancy. 

She is now 2 weeks postpartum and has been pumping faithfully with a hospital grade pump. She rests, drinks, visits the babies. She was started on Reglan 3 days post-op because she was not able to pump a drop of milk. Now she has only be able to pump a few drops to get the shield wet. Up until now we have had the "keep going" support, but it is very frustrating. Any other ideas? Has anyone seen it take longer than this for milk to come in, especially under all her unfortunate circumstances.  
Dianne RN IBCLC
Florida 

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