Christine, has anything happened to this mother in an endocrine sense? I also wonder what she means by having had lots of milk 7 years ago, since she didn't breastfeed. All this time later, we'll never know if this supply would have been maintained if she'd breastfed.

As regards pumping, does she know about "hands-on pumping", i.e. expressing by hand first, then using the pump, and finishing up with hand expression to strip the milk the pump missed?

Virginia
In Brisbane, QLD, Australia

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Christine A Raasch
Sent: Wednesday, 30 July 2014 12:17 PM
To: [log in to unmask]
Subject: Very low milk output

I have a G3P3 mother whose baby was delivered at 35+1 week gestation after a spontaneous rupture of membranes. She will be one month old tomorrow. Mother states she had lots of milk with her first (7y.o) but didn't breastfeed at that time. With her second, now 3 y.o. she had no milk come in, she tried pumping but it was not successful. She could not tell me what kind of pump she had other than it was electric. With this current child, she was covering the bottom of the colostrum bottle by discharge and she was pumping every two hours while awake and once at night. There is nothing unusual about her breasts, she has not had any surgery, injury and she is on no medication. We were able to get a good electric breastpump for her but there was a delay in the delivery. During that time she pumped by hand. She reported that she was engorged for about 24 hrs and then her supply dropped. She is pumping every two hours while awake, she starts out with 10-15 cc combined with the first pumping and barely gets 5 cc at the end of the day. I am not concerned with the decrease over the day. Her physician checked for retained placenta which she does not have and her prolactin level is normal. She has been using galactogogues. Her wish is to pump enough milk so that she can store it "like her friends". Today I asked her not to focus on amount but on the fact that she is getting milk out. What am I missing? Any thoughts?
Christine

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