I encourage all expecting and nursing moms to watch this video from Stanford Medicine about Hand Milk Expression and how effective it is at increasing milk output and overall supply. Studies have found that mothers who use hand expression in addition to and during breastfeeding and pumping are able to get about 50% more milk output!
Hand expression is correlated with longer duration of breastfeeding, and better milk supply than when mothers use a breastpump alone for milk expression.
Additionally, hand expression is:
Can be very efficient for most mothers
Can be less uncomfortable or annoying than a breastpump.
This video from Stanford Medicine is a great one to watch for any new mother, and especially mothers who are concerned about milk supply, have premature and/or supplemented infants or infants who must spend time in the NICU, and latch difficulties. When an infant is unable to breastfeed effectively, and his mother needs to stimulate the breasts and express milk with a breast pump, building and maintaining an adequate supply can be a challenge. This video demonstrates some ways that pumping mothers can increase production without medication.
Domperidone should be used as a last resort for mothers who have trouble making enough milk for their babies, after all other measures to increase supply have been attempted. Domperidone will not work unless the mother is moving her milk regularly and efficiently as necessary for good milk production, and will not make up for an inefficient or inadequate pump. That is why it is important to try all other mechanical milk production increasing measures before seeking out medication.
Domperidone is controversial because it is unavailable in the United States, except at Compounding Pharmacies (see saftey information below), but it can make a world of difference in the life of a breastfeeding mother and baby who have tried everything and just can't make enough milk. It can be obtained much less expensively at some online pharmacies, because it is an over-the-counter medication in most countries.
For information on how to increase milk supply without medication, visit:
Mothers often wonder how much milk their baby drinks, and this becomes a big question for mothers once they are ready to return to work, or even begin leaving baby at home with a caregiver occassionally. The research tells us that exclusively breastfed babies take in an average of 25 oz (750 mL) per day between the ages of 1 month and 6 months. Different babies take in different amounts of milk; a typical range of milk intakes is 19-30 oz per day (570-900 mL per day). So, it is safe to assume that your baby will need 1 to 1 1/2 oz of milk per hour that you will be away. A caregiver should be made aware of this, and know that the infant should not be receiving more than this. If an infant were to recieve 2 oz per hour, that would be a pace that most mothers could not keep up with while pumping, and the infant would not be hungry for the rest of the day and thus would not be interested in nursing, causing a decrease in mother's milk supply.