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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 30 Sep 2005 18:50:10 -0400
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text/plain
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Jennie,
Welcome to Lactnet. We need to know how old the mother's infant is and 
whether she is pumping between or after breastfeeding to know if her 
milk production is normal or not. On day 3-5, one or two oz is fine.
There seem to be several windows for milk supply calibration. The first 
is on day 2, as noted by the studies you cite and another one by Dewey 
(see below). If that fails, mom can still increase her milk supply over 
the first 2 weeks postpartum, possibly by the proliferation of prolactin 
receptors. Many lactation consultants have found that it is usually 
possible to increase supply by intensive feeding and pumping, but it is 
easier the earlier postpartum mom starts.
Catherine Watson Genna, IBCLC  NYC

Dewey, K.G., Nommsen-Rivers, L.A., Heinig, M.J., Cohen, R.J. Risk 
factors for suboptimal infant breastfeeding behavior, delayed onset of 
lactation and excess neonatal weight loss. Pediatrics 2003;112:607-619.

 

Dowling DA, Meier PP, DiFiore JM, Blatz M, Martin RJ.  Cup-feeding for 
preterm infants: mechanics and safety.  J Hum Lact. 2002 
Feb;18(1):13-20; quiz 46-9, 72.

 

Furman L, Minich N, Hack M. Correlates of lactation in mothers of very 
low birth weight infants. Pediatrics. 2002 Apr;109(4):e57.

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