Hi Debbie,

There is no way of knowing what mom's milk supply will be, however, there
is certainly a good chance to increase the production that is already
there. I would definitely explore what mom wants to do or feels able to do.
She may be telling you one thing while the midwives or others have actually
offered help. Unless you were there to see the interaction, remember there
may be another side to the story.
However, take mom at face value, and meet her where she is. I would suggest
lots of skin to skin which will help in so many ways, as you know. Then let
mother know that expressing is the key to increasing production and offer
the the options of hand expression, manual, or electric pumping. That's all
I would do at this time, and take it from there.

Laurie Wheeler RN MN IBCLC
Mississippi Gulf Coast USA

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