While I was in Burma, we found that if mothers allowed babies free access to the breast during the day (often fed more than 12x) and then slept with baby (ie baby pretty much attached to the breast), we say copious milk secretion with swallowing by around 10 days (may have started earlier but we didn't see them very often) and we started withdrawing support for artificial feeding at around 21 days.  Artificial feeds were given ad lib after a breastfeed by cup and not by bottle.  There were no breast pumps, no SNS, and no OCPs available.  In this culture babies are rarely put down.  I would suggest that your mum be spending most of the day skin to skin with her bub for the next few days.
Nina Berry
Australia
On 07/06/2011, at 1:22 PM, lisa mooney wrote:

> I am working with a patient, permission to post, Adoptive Mom, had surrogate, IVF twins, has not had a pregnancy herself, is inducing lactation. She did quick start, BCP's for 4 weeks, then stopped, has been on Domperidone TID 20 MG,  still is and More Milk Plus, pumping with Symphony Q 3 hours, she has gotten at most 2 ML today, with pumping, I think I was more excited then she was when we got that from pumping, I gave her a lot of reassurance and encouragment today. I told her for the next 2 to 3 days we treat her like the new mom she is and that any new mom would have Teaspoons not ounces of colostrum at this point.  Babies 24 hours old now at 36 5/7 EGA. One nursing really well, the other, sleepy. She does not want to use much formula, and so far the Babies weight loss has been minimal and the one doing well nursed for 25 minutes today, with a strong suckle and intermittent swallows appreciated. I will see how the night went and  their weight, etc is doing tomm. Just wondering what she can expect Milk Supply wise, I do not have much experience with Induced Lactation, Thanks  Wise Women. Lisa Mooney CNM MSN IBCLC.  		 	   		  
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