My experience has been that when pumping moms added hand expression to the
pumping, there was an increase in production. She can also do breast
compressions while she is pumping. Also be sure to check the flange size to
make sure it is right for her - sometimes a small change there can make a
big difference.

Sharon Knorr, IBCLC, Colorado

On Tue, May 15, 2012 at 9:23 PM, Julie Rosen <[log in to unmask]>wrote:

> A client, 43 year old multip (2nd baby, 1st baby at age 19) is exclusively
> pumping for her 4 week old (long story, involving NICU admission and bad
> advice in the hospital). She started with a copious milk supply (pumping 7
> oz at a feed) with an Ameda Purely Yours. She skipped one pumping in the
> middle of one night and ended up with mastitis, which immediately tanked
> her
> supply. Despite switching to a Symphony, and adding herbs, she has been
> unable to increase her supply back to anywhere near what it was - at best
> she can get one ounce between both breasts. She finally decided to see what
> hand expressing would do, and managed to get over an ounce from each breast
> in about 15 minutes per side, particularly by expressing very close to the
> nipple. She is finding it difficult to catch the milk and tiring to use her
> hands. Can anyone suggest what hand pump or electric pump might best serve
> her, given what she's discovered about where to apply hand pressure to get
> the most milk? I'm at a total loss as to what to suggest. Mom is obviously
> supplementing, but would like to continue providing as much breastmilk as
> possible.
> Thanks so much,
> Julie
> IBCLC in NJ
>
>
>
>
>
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