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I believe in the old BAB it said that a mom's supply will rebound an hour after a feeding. So the benefit to pumping an hour after feeding would be to maximize how much milk a mom is getting and allow her milk supply to again rebound before the next feeding. I usually would give moms a few ideas on getting in the extra pumping. It may be overwhelming for moms if it was suggested after every feeding, but when I have suggested it it's been to add an extra pumping session once or twice a day. I usually suggest the pump for 5 minutes when you pass the pump several times a day or power pumping plan. But that all depends on what's going on with the mom and what she can handle. Heinz, BA IBCLCBeach Babies Lactation Support, LLC Sender: Date: Sat, 04 Feb 2012 19:08:18 -0000To: < >ReplyTo: Subject: pumping patterns Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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,

I've learned that if a mom pumps right after a feed and gets more than an ounce both breasts then baby is leaving residual milk and this will help increase supply. But if a mom gets less than an ounce, waiting about an hour after feeds will help increase milk more. I heard this from Genna a while back and others. Rationale for waiting is that the breast takes about an hour or 1.5 hr to refill. Power pumping for a few days for much shorter duration and more often can boost supply in many moms and then this can often be more palatable for mom as short lived.

Barbara Latterner

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I have suggested she power pump as an alternative, bc the schedule is so

exhausting. Thank you!

Tow, IBCLC, CT, USA and France

>

> ,

>

> I've learned that if a mom pumps right after a feed and gets more than an

> ounce both breasts then baby is leaving residual milk and this will help

> increase supply. But if a mom gets less than an ounce, waiting about an hour

> after feeds will help increase milk more. I heard this from Genna a

> while back and others. Rationale for waiting is that the breast takes

> about an hour or 1.5 hr to refill. Power pumping for a few days for much

> shorter duration and more often can boost supply in many moms and then this

> can often be more palatable for mom as short lived.

>

> Barbara Latterner

>

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I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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I totally agree, . If there isn't some sanity in the plan we suggest to mothers, they aren't going to be able to stick with it. I always tell mothers to pump as close to the end of the feeding as possible, as soon as baby is happy to watch her or sleeping. If someone else is around to help, mom can pump while the helper is bottle-feeding any necessary supplement.

Pumping not only tells your body *how much* milk you want, but it also tells your body *when* you want the milk. If your baby starts sleeping through the night, your *nighttime* milk supply adjusts downward (assuming you don't get up to pump), but your daytime supply remains the same. (If baby is 4 mos old or older.) I explain it to mothers this way: "If your baby eats at 2:00 and 5:00 p.m., but you pump at 3:30, you're telling your body you want milk at 3:30, instead of at 2:00 or 5:00 when the baby is hungry."

And you're right, . If we don't build in breaks for these moms, they spend their entire day thinking of food-related things for their baby and quickly can't stand it anymore and just go to bottle-feeding expressed breastmilk or even to just formula.

Dee Kassing

Subject: pumping patternsTo: Date: Saturday, February 4, 2012, 1:08 PM

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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I think of it more like a growth spurt, Jan. Babies stay at breast longer during growth spurts, because they aren't filling up. They suck and suck and suck, and it's the increased stimulation that eventually tells the body that more milk is needed. That's what I'm trying to mimic with the pump. That, and that fact that I'm also trying to keep in mind that it doesn't matter if pumping an hour after feedings will raise supply more if mom instead gives up due to exhaustion.

Dee Kassing

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Morhbacher offers this idea of waiting an

hour to pump after feedings to allow the mother to express more milk for

supplementation. She says this method still offers a means to increase the milk

supply( like pumping soon after nursing) but may not be a choice for a

mother who wants to get the feeding and pumping out of the way close together.

Ellen Simpson

Tampa, FL

From: [mailto: ] On Behalf Of

Sent: Saturday, February 04, 2012

2:08 PM

To:

Subject: pumping

patterns

Does anyone know of an advantage to advising a mom to

pump one hour after feedings vs immediately following feedings. I have a client

who was told to pump this way to increase milk supply.

As I see it, it gives the mom no break, as she is nursing and then an hour

later pumping and then an hour later nursing.... and I worry that it's

counterproductive

Tow, IBCLC, CT, USA

& France

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I would really like to see some scientific evidence that growth spurts really occur and that the babies are growing....and making more milk in the process....who was it that called them transitional lactation crises? I'm truly not so convinced about growth spurts after all these years that I've been hearing about them, and teaching about them...but am becoming less and less convinced they really are true.

And we know of moms who pump and pump and pump and never get any more milk. A baby who isn't getting milk from the breast is soon going to move into non-nutritive sucking which doesn't really stimulate the breast.

Is there a point beyond which a mother cannot make any more milk? A "set point" if you will?

But all that said, I do think we need to think of mom's exhaustion and ability to pump WHENEVER!!

Jan

I think of it more like a growth spurt, Jan. Babies stay at breast longer during growth spurts, because they aren't filling up. They suck and suck and suck, and it's the increased stimulation that eventually tells the body that more milk is needed. That's what I'm trying to mimic with the pump. That, and that fact that I'm also trying to keep in mind that it doesn't matter if pumping an hour after feedings will raise supply more if mom instead gives up due to exhaustion.

Dee Kassing

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Interesting thoughts about the growth spurts Jan. Isn't milk supply at month 1 and 6 are the same just the milk composition is different...so maybe baby is just adjusting to changes in milk?As far as pumping, if mom has a newborn with latch issues, premature etc I recd to pump after every feed to boost/ stimulate supply , if older baby and mom is worried about supply I would suggest power pumping or wait an hour after 2 feeds a day which ever is easiest for her... RDH, BS, IBCLC Minnesota BabySent from my iPhone

I would really like to see some scientific evidence that growth spurts really occur and that the babies are growing....and making more milk in the process....who was it that called them transitional lactation crises? I'm truly not so convinced about growth spurts after all these years that I've been hearing about them, and teaching about them...but am becoming less and less convinced they really are true.

And we know of moms who pump and pump and pump and never get any more milk. A baby who isn't getting milk from the breast is soon going to move into non-nutritive sucking which doesn't really stimulate the breast.

Is there a point beyond which a mother cannot make any more milk? A "set point" if you will?

But all that said, I do think we need to think of mom's exhaustion and ability to pump WHENEVER!!

Jan

I think of it more like a growth spurt, Jan. Babies stay at breast longer during growth spurts, because they aren't filling up. They suck and suck and suck, and it's the increased stimulation that eventually tells the body that more milk is needed. That's what I'm trying to mimic with the pump. That, and that fact that I'm also trying to keep in mind that it doesn't matter if pumping an hour after feedings will raise supply more if mom instead gives up due to exhaustion.

Dee Kassing

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Well, Jan, it's certainly not scientific evidence. But over the long years I've been working with breastfeeding moms and babies, I have gotten many reports from mothers who are using bottles because breastfed isn't going well, and it doesn't matter whether there is breastmilk, formula or a combination in the bottles, they report that their babies demand more food for a few days around 2 weeks and 6 weeks. So, since the food is coming from a bottle, it really can't be a transitional lactation crisis.

I do believe in growth spurts.

Dee

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Interesting. Not convinced. We'll have to agree to disagree on this one, Dee. But that's OK -- I still think you are da BOMB! (used to be "the bees knees").

Jan

Well, Jan, it's certainly not scientific evidence. But over the long years I've been working with breastfeeding moms and babies, I have gotten many reports from mothers who are using bottles because breastfed isn't going well, and it doesn't matter whether there is breastmilk, formula or a combination in the bottles, they report that their babies demand more food for a few days around 2 weeks and 6 weeks. So, since the food is coming from a bottle, it really can't be a transitional lactation crisis.

I do believe in growth spurts.

Dee

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Why, thank you, Jan! I am honored.

And maybe we'll find out someday that's it's something in between. Some years ago, a NICU IBCLC here stated that she sees *every* NICU mother suffer a significant decrease in milk production around 6 weeks. She encourages them to keep pumping, and says that most of them get their milk back up, though it may take as long as 2 weeks. That made me wonder if maybe that 6-week growth spurt was really a hormonal shift for all mothers. But then I see the babies who demand more milk even from bottles, and I'm really not sure what to think. But I do believe in growth spurts, based on the reports from the mothers using bottles.

Dee

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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I'm late to chime in here... but I think that when moms are told to pump an hour after a feeding it creates big problems. not only to moms not get breaks, but when baby goes back to the breast the next time, there is less milk for him. kinda defeats the purpose IMO. I tell moms to pump immed. after the feed or not at all. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comwww.facebook.com/thesecond9months.--- On Sat, 2/4/12, Dee Kassing

wrote:Subject: Re: pumping patternsTo: Date: Saturday, February 4, 2012, 8:58 PM

Why, thank you, Jan! I am honored.

And maybe we'll find out someday that's it's something in between. Some years ago, a NICU IBCLC here stated that she sees *every* NICU mother suffer a significant decrease in milk production around 6 weeks. She encourages them to keep pumping, and says that most of them get their milk back up, though it may take as long as 2 weeks. That made me wonder if maybe that 6-week growth spurt was really a hormonal shift for all mothers. But then I see the babies who demand more milk even from bottles, and I'm really not sure what to think. But I do believe in growth spurts, based on the reports from the mothers using bottles.

Dee

I hear you, , but I've often wondered how productive in increasing milk supply is in pumping immediately after IF the baby is effectively emptying the breasts. If mom isn't getting anything from pumping (or maybe a mL or two), then how is that increasing supply since it is predicated on what is taken out that is replenished. The idea is that you have to take out more than the 76% the average baby takes out.

Now, if the baby is ineffective, and leaves a lot of milk behind, then pumping immediately after is a Very. Good. Thing. However....

Jan

Does anyone know of an advantage to advising a mom to pump one hour after feedings vs immediately following feedings. I have a client who was told to pump this way to increase milk supply. As I see it, it gives the mom no break, as she is nursing and then an hour later pumping and then an hour later nursing.... and I worry that it's counterproductive Tow, IBCLC, CT, USA & France

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Jan--this baby is getting very little at breast--probably 90% of the milk is

from the feeding tube and 75% of that is AIM. Mom was never told to pump early

on--baby was not gaining at all for over a month. Mom's supply is VERY low and

baby's feeding is very inefficient.

Tow, IBCLC, CT, USA & France

>

> I hear you, , but I've often wondered how productive in increasing

> milk supply is in pumping immediately after IF the baby is effectively

> emptying the breasts. If mom isn't getting anything from pumping (or maybe a

> mL or two), then how is that increasing supply since it is predicated on

> what is taken out that is replenished. The idea is that you have to take out

> more than the 76% the average baby takes out.

>

> Now, if the baby is ineffective, and leaves a lot of milk behind, then

> pumping immediately after is a Very. Good. Thing. However....

>

> Jan

>

>

> In a message dated 2/4/2012 1:08:22 P.M. Central Standard Time,

> IParentLLC@... writes:

>

>

>

>

> Does anyone know of an advantage to advising a mom to pump one hour after

> feedings vs immediately following feedings. I have a client who was told to

> pump this way to increase milk supply.

>

> As I see it, it gives the mom no break, as she is nursing and then an hour

> later pumping and then an hour later nursing.... and I worry that it's

> counterproductive

>

> Tow, IBCLC, CT, USA & France

>

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I think if we were at the place where mom was getting close to a full supply and

we just wanted to tweak it upward, then the pumping an hour later might make

sense--but we are nowhere near that point. And, as baby's feeding is so

inefficient, them the only significant milk removal is the pump, which she has

been told to do for only 10 minutes. So, as I see it, milk removal is mimicking

toddler nursing--pretty much snacking. Baby basically latches and quickly

swallows for about 2-3 minutes with the first MER, then after a few more minutes

gets the SNS, which she takes quite a slowly. Then an hour later mom pumps for

10 minutes and hand expresses for a couple more. And she only does this during

the day. It just doesn't seem effective to me--well--actually it hasn't been.

Tow, IBCLC, CT, USA & France

>

> Morhbacher offers this idea of waiting an hour to pump after feedings to

> allow the mother to express more milk for supplementation. She says this

> method still offers a means to increase the milk supply( like pumping soon

> after nursing) but may not be a choice for a mother who wants to get the

> feeding and pumping out of the way close together.

>

>

>

> Ellen Simpson

>

> Tampa, FL

>

>

>

> _____

>

> From: [mailto: ] On Behalf

> Of

> Sent: Saturday, February 04, 2012 2:08 PM

> To:

> Subject: pumping patterns

>

>

>

>

>

> Does anyone know of an advantage to advising a mom to pump one hour after

> feedings vs immediately following feedings. I have a client who was told to

> pump this way to increase milk supply.

>

> As I see it, it gives the mom no break, as she is nursing and then an hour

> later pumping and then an hour later nursing.... and I worry that it's

> counterproductive

>

> Tow, IBCLC, CT, USA & France

>

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To me that makes all the difference in the world. Since baby is ineffective at suckling and most of the milk is AIM, then as far as milk production is concerned, she needs to pump as often as she can get to it....

I think, personally, we need to let the mom decide the when of pumping. I encourage my moms to pump as often as they can get to it -- to try and pump 8x/24 hours, but not to be discouraged if she isn't able to pump that often. AND, I encourage her to pump whenever is convenient for her -- sometimes that might be immediately after a feed if someone else is there to take care of the baby or baby is asleep -- sometimes it might be an hour later. If some of what is in the feeding tube is breastmilk, then she is getting something at some point. I suspect if this baby is inefficient at the breast, then he's not removing much anyway, so mom pumping right after the feed would be a good time -- IF that is good for her.

I don't live at her house -- ergo, I don't walk in her moccasins nor pump into her pump, therefore I want to leave it so that if she doesn't do what I said specifically, she doesn't feel as though she has failed and throws in the towel.

Jan

Jan--this baby is getting very little at breast--probably 90% of the milk is from the feeding tube and 75% of that is AIM. Mom was never told to pump early on--baby was not gaining at all for over a month. Mom's supply is VERY low and baby's feeding is very inefficient. Tow, IBCLC, CT, USA & France>> I hear you, , but I've often wondered how productive in increasing > milk supply is in pumping immediately after IF the baby is effectively > emptying the breasts. If mom isn't getting anything from pumping (or maybe a > mL or two), then how is that increasing supply since it is predicated on > what is taken out that is replenished. The idea is that you have to take out > more than the 76% the average baby takes out.> > Now, if the baby is ineffective, and leaves a lot of milk behind, then > pumping immediately after is a Very. Good. Thing. However....> > Jan > > > > > > > > Does anyone know of an advantage to advising a mom to pump one hour after > feedings vs immediately following feedings. I have a client who was told to > pump this way to increase milk supply. > > As I see it, it gives the mom no break, as she is nursing and then an hour > later pumping and then an hour later nursing.... and I worry that it's > counterproductive> > Tow, IBCLC, CT, USA & France>

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I also question growth spurts and doubt baby is actually stimulating more milk.

In fact, I thought we had come to see these common changes in pattern as a way

of driving composition, rather than volume (I am not referring to hungry babies

here, but normally growing babies).

Tow, IBCLC, CT, USA & France

>

>

> I hear you, , but I've often wondered how productive in increasing

> milk supply is in pumping immediately after IF the baby is effectively

> emptying the breasts. If mom isn't getting anything from pumping (or maybe a

> mL or two), then how is that increasing supply since it is predicated on

> what is taken out that is replenished. The idea is that you have to take out

> more than the 76% the average baby takes out.

>

> Now, if the baby is ineffective, and leaves a lot of milk behind, then

> pumping immediately after is a Very. Good. Thing. However....

>

> Jan

>

>

> In a message dated 2/4/2012 1:08:22 P.M. Central Standard Time,

> IParentLLC@... writes:

>

>

> Does anyone know of an advantage to advising a mom to pump one hour after

> feedings vs immediately following feedings. I have a client who was told to

> pump this way to increase milk supply.

>

> As I see it, it gives the mom no break, as she is nursing and then an hour

> later pumping and then an hour later nursing.... and I worry that it's

> counterproductive

>

> Tow, IBCLC, CT, USA & France

>

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Hi

there. Physiologically milk production is increased by removing milk from the breast. if she expresses soon after feed the baby would have removed the milk already therefore it defeats the purpose. 1 hour later her breasts will have started to 'fill up' again therefore what she removes then will stimulate milk production. It's sort of a replacement thing- what's removed needs to be replaced. Also mother's confidence plummets when she expresses soon after feeding the baby because chances are she will not see any milk and will therefore think she has no supply.Hope this helps Wimbayi

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However, if you have an inefficient infant, milk will be left in the breasts and pumping right after a feed makes lots of sense in that situation. I guess it depends what the situation is. And I don’t remember how this trend started... Ghislaine Reid, IBCLCConsultante en lactationLactation ConsultantMontreal, Quebec, Canada De : [mailto: ] De la part de wimbayi musodzaEnvoyé : 11 février 2012 11:13À : Objet : Re: pumping patterns Hi there. Physiologically milk production is increased by removing milk from the breast. if she expresses soon after feed the baby would have removed the milk already therefore it defeats the purpose. 1 hour later her breasts will have started to 'fill up' again therefore what she removes then will stimulate milk production. It's sort of a replacement thing- what's removed needs to be replaced. Also mother's confidence plummets when she expresses soon after feeding the baby because chances are she will not see any milk and will therefore think she has no supply.Hope this helps Wimbayi

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