I have 2 friends (who are also my patients) who are exclusively pumping for their babies now. The one, the mom of triplets who lost 2 babies early on, is doing well with her supply, and better with her sore nipples. The other had a sort of series of unfortunate events that has drastically dropped her supply. Her little boy had G-tube surgery and then was discharged from the hospital. The 2 days prior to discharge she missed some pump sessions as she was staying in a family room caring for the baby totally in preparation for discharge. I arranged for her to get a Lactina grant pump from WIC, which her husband was supposed to pick up the week prior to discharge, but he didn't get it, and she ended up having nothing but a Medela single hand pump for 2 days. Now, her supply has dropped from 35 or so oz a day to 10-12 oz. I have her pumping as frequently as she can for a few days (averaging about every 2-3 hours during the day, with one 4 hour break at night), had her start fenugreek, and yesterday wrote a prescription for Reglan. She was heading to stay with her mom for 10 days or so after seeing me yesterday. She has used her freezer supply and had to give formula several times yesterday, which the baby doesn't tolerate well at all. Her mom is still nursing her 13 month old baby sister (She is the oldest of 11!) so she is hoping to have some donor milk from her while at home, and she will have good support both with caring for her baby and 2 year old and emotional support as well. Any other ideas to help her get her supply back? Baby is 7 weeks old and unable to breastfeed at this point. Also, this mom is interested in not using commercial formula if she has to supplement. She has a brother that had goat's milk as a baby and wondered about using that. If I remember, there has been discussion here about goat's milk being too high in solute load for babies. Any good links to info I could send her? Jennifer Tieman Family Physician Mom to 4, including my toddler nursling Caroline Rose *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html