I have had one mother with virtually no milk able to be expressed for 8
days. At that time, she got a good supply in. I don't remember her
particulars, what, if any, risk factors she had, but she did pump regularly
and faithfully.
I would recommend regular pumping in addition to frequent bf and kangaroo
care, and supplement the baby as needed for satiety and wt gain. I think the
anemia can definitely be contributing so I would make sure mom is on a
nutritious diet and Fe if needed and getting plenty of rest, if possible. Of
course you could investigate for retained placenta, hormonal variations,
etc.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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