Vaishali,
I like to prevent formula supplementation and perk the baby up by 
starting mom hand expressing colostrum onto a teaspoon and feeding it to 
baby within about 6 hours of birth, if baby has not latched.  Esther 
Grunis recommends that moms express 5 teaspoonsfull (about 5-7 drops on 
a teaspoon) every 2 hours.  Then follow the colostrum feeding with skin 
to skin.  Mom should start pumping if baby has not latched and her 
colostrum is starting to increase in volume or by day 2.  Research on 
pumping for premies is clear that best milk supplies happen when mom 
starts pumping within 6 hours of birth, and there is some evidence that 
much milk supply calibration takes place on day 2.
Your idea to send this mom home with a pump (and instructions to use it 
7 times a day and once at night) is a really good one if her babe does 
not latch well before discharge.
Catherine Watson Genna, IBCLC  NYC

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