During first few days when milk doesn’t come in yet

-skin-to-skin as much as possible, more time with baby means more time to try latching and more chance of success

-avoid using nipple shield unless really necessary (nipple shield may create nipple confusion and hinders milk transfer)

-hand express breast milk (study shows hand express in first few weeks to empty breasts increase production down the line)

-track weight daily to avoid drastic weight loss (if weight drop more than 10%, suggest starting formula supplementation of 15-30cc per feeding)

-no bottle feeding (may create nipple confusion), please use Medela Supplemental Nursing System to keep baby at breasts

-mum only nurses and rests, no other housework

-get hospital grade pump with battery/car charger

After breast milk comes in

-use both hand express and breast pump after feeding to increase production

-set clock to empty breasts regularly (even one time of delayed emptying may cause clogged ducts and mastitis)

-to prevent mastitis, wash nipples with warm water  and clean pump tubing every day

-if any breast pain/redness/fever, start taking antibiotics and once feels fluctuation/pus formed, get needle aspiration as soon as possible to avoid I&D

-if clogged duct, warm compression every 2-3 hrs right before pumping/electronic tooth brush and cold compression in between; lethicin?; if not relieved in 24-48hrs, be more aggressive and be careful of mastitis