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Mbc_establishmilk_907280-405

How to Establish a Full MilkSupply with a Breast Pump Nancy Mohrbacher, IBCLC, Lactation Education Specialist,
Hollister Incorporated

YOUR GOAL: Pump a full milk supply, 25-35 ounces
• You may not need to pump during your normal sleeping (750-1050 mL) per day, by Day 10 to 14 after birth,
hours. With a full supply, many exclusively pumping no matter now much your baby is taking. Your body mothers can pump as the last thing they do before is primed and ready to produce milk now, and if you wait bed and the first thing they do in the morning. If you too long, it may be difficult or impossible to increase your can do this without too much breast fullness and • For most mothers, once supply is established, 10-15 As soon as possible after birth, start pumping at least
8-10 times every 24 hours (as many times per day as
• Monitor your supply at least once a week by keeping your baby would be breastfeeding). More pumpings
a written record of your daily milk yield.
per day equals more milk produced. Use a hospital-gradeautomatic pump with a double pumping kit. If you need to increase your milk supply, the
• Until your milk “comes in” on Day 3 or 4, pump at least sooner you work on it, the faster you’ll see results:
• Increase the number of pumpings to 8-12 per day, • When your milk increases, as often as you can, pump which for most women is an “increase level.” longer, until 2 minutes after the last drop of milk or • Increase pumping time to 2 minutes after the last drop 20-30 minutes total, whichever comes first. (Drained of milk or 20-30 minutes, whichever comes first.
• Have your pump flange fit checked. Many women get Focus on the number of pumpings per day,
better results with a larger nipple tunnel.
not the time between pumpings.
• Use breast massage during pumping.
• If you think in terms of the time between pumpings, • Ask your lactation consultant to talk to your doctor when pumping is delayed it is too easy for the total about prescription medications and/or medicinal herbs number of pumpings (the most important factor) to such as metoclopramide (Reglan), domperidone (Motilium), or fenugreek (natural plant product) capsules. • When planning your day, think: “How can I fit in my When you are ready to wean, you can do it
comfortably and safely by cutting back on
• If you can’t pump during part of the day, pump every pumping gradually.
• Start by eliminating one daily pumping, give your • Before you reach 25-35 (750-1050 mL) ounces body 2-3 days to adjust, and then eliminate another per day, pump at least once during the night and pumping, leaving your first and last pumpings of the don’t go longer than five hours between pumpings. day until the end. Repeat until you’ve weaned. • Keep the number of pumpings the same and stop Once you’re pumping 25-35 ounces (750-1050 mL)
pumping sooner. For example, if you normally get per day, you may be able to cut back on pumping
4 ounces (120 mL) at a pumping, stop after 3 ounces and still maintain supply.
(90 mL). Give your body a couple of days to adjust and then decrease by another ounce. Repeat until • Cut back to 5-7 pumpings per day – this is you no longer feel the need to pump.
a maintenance level at which most women can • NOTE: If you feel full at any time during weaning,
maintain their supply. If you notice your supply pump to comfort – not a full pumping, but long enough so that your breasts feel comfortable. Leaving yourbreasts full increases your risk for pain and mastitis. Hollister and logo, and stylized heart are trademarks of Hollister Incorporated.
2005 Hollister Incorporated. 907280-405

Source: http://www.inovababynet.com/resource%20docs/establish_milk_supply.pdf

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F, NUTR_DEF 2011.08.29 2011.07.25 FNUTRDEF.PRG #146 NUTR_NO,UNITS,TAGNAME, NUTRDESC, .num_dec , SR_ORDER You may select any of these nutrients for research purposes The values will be as per the USAD REL 24 TABLES 203 , g PROCNT PROTEIN .2 ,600 204 , g FAT TOTAL LIPID (FAT) .2 ,800 205 , g CHOCDF CARBOHYDRATE, BY DIFFERENCE .2 ,1100 207 , g ASH ASH .2 ,1000 208 , kcal ENERC_KCAL ENERGY .0 ,300 20

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