The things that helped me the most:
1. Pumping. Early on I was pumping, then SNSing milk to baby, repeat, 
repeat, repeat.  That got to be too much for me emotionally and 
exhaustion-wise, so I would offer SNS feed in the daytime only and just pump 
and bottle feed at night.  Eventually, the SNS/LactAid became too time 
consuming - did I mention our next oldest child is a foster child who is 7 
months older than the bio baby and we homeschool?? :)  Started out pumping 
nine times/day, weaned down to five.  Hoping to go to four soon.
        Getting larger flanges was a significant help.  I use a Medela 
Lactina Select pump now, but early on used a Pump n' Style.
2. Domperidone...I started out taking a pretty large dose then gradually 
weaned down.  Within a week, I saw supply improvement.  It took about 4 
weeks to get a full supply.  I received 300 ounces of donor milk from a 
woman in Ohio, and three local women pumped extra for me, so our formula use 
was minimal, thankfully.
3. Tracking: I made a flowsheet to document feeds/pumps:
TIME:                    HOW:                  DIAPERS:                PUMP 
AMT:               FEED AMT:         "DOM"
             AM/PM                 BF/BTL            W/S 
OZ.                                 OZ.                 # tablets
4. SUPPORT: http://groups.yahoo.com/group/EPers/  This group is purely for 
mothers who have to exclusively express milk for their babies. This group is 
not for mothers who choose to pump exclusively; nor is it for mums who pump 
part-time and nurse part-time. It is only for mothers of babies who are 
completely unable to nurse.
5. I started out taking fenugreek and blessed thistle, but once the 
Domperidone started, I stopped those.


Ann Marie

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