On 07/03/2006, at 2:43, Lee & Karen Palmer wrote:

> I have however, had several women with a similiar scenario to yours  
> recently.  It sounds like you are on the right track with the  
> management. I would just add in double pumping, some cluster  
> pumping (over several hours in one part of the day), and breast  
> compressions towards the end of the pumping session.  This will  
> require changing from double pumping to single pumping at the end.

I just would like to add - there is no need to switch to single  
pumping in order to do massage and compression. A handsfree bra  
(homemade from a stretchy but snug pregnancy bra or sports type bra)  
allows two hands to compress and massage while double pumping. It  
also allows the mother "time off" from thinking about pumping every  
second while she's doing it - which can really improve let-down  for  
some! - and gives her her hands back to read, check email, tend to  
her baby (perhaps with a little extension tubing), and so on.

Lara Hopkins

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