Hi Kristi,
In my opinion her breasts need more baby time. Sounds like she might have
spent the first 3 wks with quite suboptimal breast drainage, with a lack of
baby bf and a lack of sufficient pumping. If baby can transfer well now,
and mother wants to just bf, then have her go ahead and AD LIB ON EVERY CUE
bf the baby (emphasis for mom to understand how important this is). Of
course, do a wt check in a couple days. If she is pumping and still intends
to do a good bit of that, then she must have an effective pump and, as you
said, use it frequently, and for a sufficient amt of time like 20 or 25
minutes. And "hands on" pumping will get her more milk.
I am afraid that many people think galactagogues are the "magic bullet" and
a "quick fix" (not saying you think that), but our latest knowledge on this
shows that adequate and frequent breast drainage are key. These
galactagogues must be used in conjunction with frequent emptying.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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