Hello Vicky,
As you're probably aware, breastfeeding operates on the law of supply
and demand - if there is plenty of demand, you can boost production.
Actually nursing your baby as soon as possible after delivery, even
though you're not producing much more than a few drops of colostrum
for those first two or three days, is the best way to jump-start milk
production.
Pumping is often used in conjunction with nursing to allow a
breastfeeding mother to return to work without compromising her milk
supply and also to boost milk production:
"• Double-pumping capability: A model that allows you to pump both
breasts at once cuts pumping time by more than half. (Note: Pumping
first one breast and then the other takes roughly 30 minutes; pumping
simultaneously takes 12 minutes on average). Double-pumping also
boosts milk production by fooling your body into thinking you're
nursing twins."
Choosing and Using a Breast Pump
http://www.babycenter.com/refcap/pregnancy/pregnancygear/429.html
If a mother is unable to breastfeed her baby immediately (because the
child was pre-mature and cannot latch on, suffered distress during the
birth and must undergo surgery or other procedures), but intends to
breastfeed once the child is able, pumping in the first 48 hours
becomes a necessity, especially if the child is to be fed via
naso-gastric tube:
"# Milk must be removed from your breasts on a regular basis as soon
as possible after delivery even if your baby is not ready to feed at
your breast in order for your body begin milk production. Double
pumping (expressing milk from both breasts at the same time) is faster
and more convenient than pumping from one breast at a time and often
increases your milk supply. A hospital-grade electric breast pump with
a milk collection kit attached to the breast pump allows you to double
pump. A nurse will help you get started using the breast pump.
# Pump as often as you can, especially during the first week after
your baby's birth. Try to express your milk 8 to 12 times in each
24-hour period."
Premature Infants
http://www.parentingweb.com/lounge/premature.htm
"You should expect to nurse frequently, although preemies don't
generally take in much milk at each feeding. And when you aren't
nursing, plan on pumping, because the hospital may need your milk for
supplemental feedings. At many hospitals it's standard practice to
insert a nasogastric (NG) tube to make sure the little one gets as
much nourishment as possible."
Breastfeeding premature babies
http://www.babycenter.com/refcap/baby/babybreastfeed/8480.html
Electric pumps are preferable to manual pumps because they are more
comfortable and much more efficient at stimulating the milk supply:
"# There are several factors involved in pumping that might be causing
a lower supply. You could look into renting a hospital-quality breast
pump (like a Medela Classic or Hollister SMB) from a local La Leche
League Leader or lactation consultant. These are comfortable and
efficient pumps. Check the LLLI catalogue or with your local Leader
for other pumps that mothers find effective.
# Try pumping both your breasts at the same time. Special adapter kits
are available for pumps or two small hand-held pumps can be used. This
double stimulation not only saves time but also greatly increases
prolactin, the hormone needed for milk production."
LaLeche League Pumping FAQ
http://www.lalecheleague.org/FAQ/pumpwork.html
Though actually nursing is best, pumping immediately to kick-start
milk production for a preemie is also fine.
If you need further information, please don't hesitate to ask for
clarification. I'll be glad to assist you.
--Missy
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