<p>I EP'ed for my oldest now 6 years old, who never latched because what I got when I asked for help in the hospital was "What are you going to do with him when you get HOME?!" in the snottiest tone imaginable and I believed them when they told me my baby would end up blind and mentally retarded from jaundice if he was not fed *now*...</p>
<p>Oh how i wish I had thought to ask them well if he is so badly jaundiced, why isn't he in the NICU under LIGHTS??!</p>
<p>I also had flatter nipples, which started the difficulty.</p>
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<p>6 months of exclusive pumping changed that. I'm currently on my 3rd EBF baby, who is 1 month and 1 day old.

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<p>I was on MDC back before this board existed and I'm really happy it does.

It was hard to be here with everyone else (it seemed) successfully nursing...</p>
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<p>I got domperidone off a website out of Australia. I tried Reglan, I'll never take it again. It made me so sleepy I could not function. I took tons of fenugreek and blessed thistle, ate oatmeal daily.....and STILL supplemented my baby with Nutramigen. BUT...like I said, I have now EBF 3 children....so if you are like me, it's NOT YOU. Our bodies don't respond as well to a pump as to the baby. Do NOT think this means you will always be a low-supply and never try again. My 4 year old, 2 year old, and new baby are all evidence that's not true. (I also found it hard to make supply meet demand while pumping while working)</p>
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<p>The others here are right about pumping often. I also did not get off to a good start with my pumping because they told me I should "Try for every 3 hours" Well, really, I would recommend every 2 during the day and 3 at night. Because life is life and what is "ideal" in our minds is not always 'reality' I found 3 hours becoming 4 easily and I think that was a big part of my trouble. I tried to correct for it later and while I did increase supply some, it didn't go up the way I think it would have if done in the first couple weeks or so.</p>
<p>I also think it would be a good idea to try the cluster pump session in the day at least once. I didn't think about this, but now that I have nursed a baby, all 3 of my EBF babies did this in the evening before going down for a longer period of sleep at night. And this is what they do when they're on growth spurt, they'll nurse a TON for a day till the supply increases to meet what they are demanding. </p>
<p>So in the future if you are finding the demand is starting to outpace the supply, I'd try simulating a 'growth spurt' for a day by pumping more often.</p>
<p>Also, more frequent shorter sessions are better than one big long session and then not pumping again for several hours. It's more like what the baby would do. (evidence? just talked to a friend the other day who pumps at work--when she was pumping once a day for half an hour for her now 2 yr old, she pumped 8 ounces. Now, during the same number of hours, she's pumping 3 times at 10 minutes each for her current baby and is getting 12-15 ounces. Nearly *double* Same total minutes spent at the pump.)</p>
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<p>I know I remember doing the pumping for a couple of minutes after the milk stopped coming, that seemed to help too. Also re-setting the pump when the milk stopped back to the faster paced 'sucking' would sometimes help get another let-down. (Medela pumps do this, I don't know about others.)</p>