Tips to Increase Milk Production

Tips to Increase Milk Production 1. Pump every 3 hours during the day at a minimum, for about 15 minutes. It’s OK to go one 4-5 hour stretch at night (pumping once between midnight and 7 am is important!). Follow every pump session or every other pump session with 5 minutes of hand expression (when […]

Questions to Evaluate a Drop in Milk Production

Questions to Evaluate a Drop in Milk Production Maternal issues: Birth control? Back to work? New medications? Pump use details- Frequency of pumping and feeding- Menses returned? Illnesses or hospitalizations? History of thyroid problems? Nipple shield use? Supplementation? Change in feeding frequency? Back to work? Infant issues: Tongue tie ever diagnosed? Infant night time sleep […]

Metoclopramide Dosing

Start metoclopramide 5mg tablets, start 1/2 of a pill four times a day for 2 days. Watch for side effects of headaches, dizziness, fatigue, depression, tremulousness. After 2 days, increase to 1 pill four times a day. If you continue to feel well on it, increase to 2 tablets 4 times a day