Hi, I had been planning on lurking for my first month or so but I can't resist
posting to this list. I find you all to be such a wealth of information.
        I had a mom call me today who wants to increase her milk. She gave birth
naturally but had hemorroids afterwards that her doctors felt required
surgery. They operated 4 days after she gave birth. Then at 9 days postpartum
she began to hemorrhage and had a second surgery. During all this she
attempted pumping but mostly the baby got bottles of ABM. The baby is now 2
mos old and is getting about 30% breast milk. Some from the breast but most of
it from a bottle. The rest of her nourishment is ABM. The mom would also like
to transition away from bottles and completely breastfeed her baby. I've never
dealt with a situation like this with a baby this old. Here's what I told her
~Offer the breast first,  at least every two hours. Maybe express a little to
get the milk flowing and to lengthen her nipple a bit, making latch on easier.
~Pump in between so she can offer the baby EBM as a supplement during
transition time and to help stimulate her milk supply.
~Cup, finger or syringe feed and offer her pinky for soothing.
~Get naked with her baby-Have bare breasts in baby's face as much as possible,
offer breast when the baby is transitioning into or out of sleep.
~Told her many mothers have found fenugreek to be effective in increasing a
milk supply
~that I would post this on Lactnet and get some more input.
I wish she had called me two months ago!!!!
BTW, I had gnarly hemorrhoids after  my first. When do postpartum hemorrhoids
warrant surgery? I've never heard of it.
Thanks,
Tracy Kirschner, DC
LLLL Boulder