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Subject:
From:
"Karen Kerkhoff Gromada, MSN, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 20 Apr 2003 10:48:18 EDT
Content-Type:
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In a message dated 4/19/03 4:47:19 PM Eastern Daylight Time,
[log in to unmask] writes:

> I had a full day yesterday of helping Moms. I helped a Mom with twins (a
> first for me). She wants to know when to pump if she is nursing the twins.
> She has a manual Advent pump. I advised an electric pump. She is trying to
> increase her milk supply. I found also she had a breast reduction 5 years
> ago. It was the kind where the nipple was cut around she said. The twins
> were
> 10 days old yesterday. I wish I could tell you their exact weights as I did
> record them but left them there accidentally. They have regained their lost
> birth weights. The boy is something like 5 lb. 6 oz. and the girl like 6
> lb.
> 2 oz.


Since babies have regained birthweights by 10 days and IF they are feeding on
cue and having appropriate diaper counts, it isn't clear why the mother would
want to pump at this point... What outcomes demonstrate a need to increase
production?

Thanks.

Karen G

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