Good morning, Lactnet. This one is at the request of the patient and her mother. She is a 34 y/o primip, having given birth to VLBW twins (24 weeks old DOB 8-19-03), the result of in vitro fertilization. One twin survived the first week. That survivor is now 7 lbs, 17 weeks since her early birth, now passed her original due date. The mother exceeded 25 oz./day EBM by the third week. The mother is now producing an average of 74oz. a day and has stored so much she is actually throwing some away! The baby was discharged from the hospital finally two weeks ago. She donated a lot of milk to the milk bank in Austin when she was in the hospital but now she can't get there any more. The strategies tried to decrease the milk production have been: cabbage leaves, cabbage cream, taking pseudophed 60 mg q4, decreasing the length of time she pumps but gets severely engorged ducts, tried to decrease frequency of pumping sessions but has same problem. The baby, now home, will NOT latch directly. I think it is clear to everybody involved that this would probably be the answer to our oversupply problems. The LC in the hospital was marvelous, I understand, but apparently was not concerned about decreasing the milk because she presumed that this problem would correct itself as soon as the baby was directly feeding and directing the show. I am not in the same city with this mother, so it's hard for me to second guess all of the particulars. She was in close contact with an IBCLC where she is (Dallas) while they were in the hospital, but hasn't had much contact since. Her mother is a friend of mine and this query comes to you from the mother of the baby via her mother. Please send any and all suggestions to me no matter how obvious they may seem. I will send them to her. Thanks in advance for all your ideas, Libby in El Paso *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html