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Need Advice for my big sis...please<br>
My sister baby is 3 1/2 weeks old. She spent her first week of life in the NICU because she had fluid in her lungs. Basically she was not bf until 48 hours old. My sister then went into the NICU and started to BF and pump like mad. I spent the week with her and she did AWSOME milk supply wise (she was filling up 4 oz bottles). She was able to pump enough so that the NICU could give the baby Breast milk in the evening hours. So the first three days the baby was put on a 4 hour schedule by the NICU. Then the last two days she was allowed to nurse on demand so my sister stayed 14 out of 24 hours in the NICU to try and get a good BF relationship. However she was not getting up to pump in the evenings. Fast forward to week 3 1/2. During the day the baby and my sister do fabulously. She nurses like a little champ. By late evening the baby nurses four 90 minutes and then cry’s for more milk which there is no more to give so my sister has been given her formula. She sucks down 3 ozs of bottle after a 90 minute feeding.<br>
Keep in mind this has been a very HARD start for a BFing relationship and she is really trying. How can she get her supply back up for night time feedings?<br>
I know stop the bottle but the little girl is HUNGRY and weight gain is an issue.
 

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I'm so glad she is nursing well. That is usually the biggest problem, esp. latching after they have been in the NICU. Yes, if she is still hungry at night after nursing for 90 minutes, (wow!) then I'd give the bottle. If she can pump one side while baby nurses on another side during the day, that can boost supply a little. I'd also look into supplements such as more milk plus, it worked for me. Other foods that can boost milk supply- oatmeal with brewer's yeast, barley... If she does want to stop the bottle, she could try using a lactaid, but that is a big hassle for just once a day. Other methods for feeding are syringe or cup feeding. If she pumps right after the morning feeding, she is likely to get more milk then and can use that as a supplement later in the evening. Hope some of this helps!
 

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An <a href="http://www.medela.com/newfiles/pdfs/SNS_Ins_3-langIns.pdf" target="_blank">SNS</a>!!! This device is so wonderful. I cannot recomend it enough. And lots of <a href="http://www.kellymom.com/herbal/milksupply/fenugreek.html" target="_blank">Fenugreek</a>, I myself took even higher doses (under supervision) than reccomended on that site, with no ill side effects. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"> for your Sis, she sounds so strong and dedicated. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 
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