We don't seem to be having as much difficulty here with moms milk supply

when they are pumping as seems to be being reported on Lactnet.  We
encourage our moms of children who are unable to breastfeed due to
difficulties latching or due to babe problems such as prematurity, babe
in oxygen, on ventilator, etc., to pump their breasts as soon as
possible after they deliver.  We encourage them that even the smallest
amount of milk obtained is liquid gold and this is something only they
can do for their baby.  We teach the Marmet technique of expression and
the moms laugh when we talk about massage, stroke & shake, but many of
them have reported that until they did the massage, stroke & shake, they

didn't get very much milk.  It is also important to encourage them to
get up to pump during the night.  I don't believe we do them or their
milk supplies any favours by encouraging them to sleep through the
night.  Some moms think "sleeping through the night" means sleeping from

11 PM to 11 AM.   The women who deliver in our hospital typically are
discharged within 3 days after delivery, but not all of them go home.
We have two semi-private parenting rooms where moms can stay if their
babies are not also discharged.  Once the baby is approaching discharge
time from hospital, we encourage moms to room in 24 hours a day in one
of our "Care by Parent" rooms.  I believe encouraging parents to
participate as much as possible in their baby's care can do much to
encourage milk production, as can a low-key approach to the amount the
mom gets.

Down off my soapbox, now!

Jeanne Hagreen, RN, IBCLC
Prince George, BC CANADA