My baby was seven weeks old when he was hospitalized for the first time, and he was either not nursing, or not nursing well for two-to-three weeks. There were many times when he wasn’t allowed oral nutrition at all, and I pumped. The third time he was hospitalized, however, was really difficult.
I met with a lactation consultant, and she was very helpful, encouraging, and enthusiastic that we would get my supply back up. She put me on an intense pumping schedule — I was pumping 8-10 times a day — but my supply was still lagging. It was impossible to relax and I wasn’t getting second and third letdowns in a session.
Here is what worked for me:
- Pump until the flow stops
- Hand express for a few minutes on each side to empty the milk ducts. (Stanford did a study that showed a significant increase in production in moms who hand expressed after pumping.)
- If breasts still feel heavy, massage-stroke-shake to increase prolactin levels and help move the milk down
- Repeat these steps at least one more time
- Drink a big glass of water and eat a snack
You only need to wait 40-60 minutes between pumping sessions. In my experience, it is the frequency, not the length of time you spend pumping, that will stimulate your breasts to increase your supply. In this way, you can pump three times in the morning (then take a two-to-three hour break), three times in the afternoon (then break for dinner), three times in the evening (then go to sleep for four to six hours) and once in the middle of the night. It is a full-time job! I was very fortunate that I didn’t have to work — I would not have been able to do this if I had been working. Luckily this crazy schedule isn’t forever — it took me about 10 days to get my production up where it needed to be.
Pumping this way also became a spiritual practice and a way to deal with my grief. I would sit in the pumping room, plugged in, and meditate. I focused on my breath. I imagined holding my baby. I felt my pain. I imagined my babe enveloped in healing light. Around this time, I read a piece on tonglen from Pema Chodron, and then practiced breathing in the suffering in the PICU, and letting out healthy, healing, nutritious milk for my baby.
Here are some other general tips for when your baby can’t nurse for any reason:
- Pump every two to three hours for 20 minutes, or however long/often your baby would nurse. Keep up your pumping schedule even if you think your baby will be able to nurse later. Your breasts are never totally empty, and you will make more.
- Make sure you eat and drink enough. This is really hard, so get the nurse to help you with gentle reminders and by keeping your water pitcher filled.
- Don’t skip pumping sessions for any reason. Don’t do it!
- Write down how much you’re pumping. Make sure you’re making enough in a 24 hour period. It’s also helpful to write down things you think might affect your supply, like herbs/supplements you’re taking, your menstrual cycle, your mood, diet, etc.
- Snuggle your baby as much as possible skin to skin.
- Get one of those hands-free pumping bras. I love mine from Simple Wishes.
I suppose I need to remind you that I’m not a lactation consultant, and this is not medical advice. I am just a mama who’s been through it wishing you well.