What I would want to know first is the basic things like:
1. what kind of pump is mom using (hopefully a rental one)
2. are the flanges large enough?
3. how many times in 24 hours does mom pump?
4. how many times in 24 hours does mom nurse the baby with or without 
the SNS?

Many moms are on the wrong pump and are using too small of flanges. And 
they get tired and only pump 5 X in 24 hours, dropping their supply. She 
might do better nursing more often to get the hormones stimulated. And I 
would question the dose of reglan she is on. I am not an MD but it 
sounds too low according to Hale, etc.

Kathy Eng, BSW, IBCLC, Houston, TX

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