K.D.
Hey J.,
I am a nurse who takes care of premature and sick newborns. We recommend Reglan all the time to our mothers who are having trouble with milk production. Its not a miracle drug, but some mom's really feel like it helps. We of course also recommend drinking plenty of fluid and feeding/pumping very frequently, sometimes every 2 hours, if you are not producting much with pumping every 3. I know you said your body does not respond to a pump, but that concerns me because used properly, you should get some milk. What brand is it? How long do you pump for and are you adjusting the intensity? Pumps these days are really good, even regular hand pumps work to get milk. If you are sure that it is being used properly, the only recommendation that I have there is try to relax, like you do when you nurse the baby to allow let-down to happen. Maybe you could try to pump after you nurse each time. Even if you don't get much, it is stimulting your brain that it needs to make more milk. Overtime you should notice an increase. That really worked for me with my son. I actually ended up with too much milk, so I ended up stopping that, but it really helped my production. Its the whole supply and demand thing that you hear about. Also, don't be afraid to give your baby a bottle when he gets so frustrated to get the milk. Since it is the 9:00 feeding that your milk supply is low, it is actually a good time to feed him a bottle. Many breastfeeding mom's choose to give their babies a bottle before bed. The babies get fuller and sleep longer. That was a saving grace for me as well! I would pump before bed and store the milk for later use. My son has switched back and forth between the breast and the bottle since he was one week old. He will be a year old next week, and just decided that he was finished nursing. Nursing was great experience for us this past year, yet since I opted to give him a bottle some as well I was able to work a few days a week and my husband/family members were able to feed him for me. Many of our preemies in the hospital go back and forth as well. I really feel like breastfeeding mom's feel a lot of pressure to not give their babies a bottle, but it really is not a bad thing, especially once the baby has established good breastfeeding skills. I hope that this helps.