If you have been diagnosed with PCOS aka Polycystic Ovary Syndrome in the past, it is now been renamed to PMOS to encompass the endocrine and metabolic system. As you may have experienced maintaining milk supply requires intensive milk extraction due to risks of delayed milk "coming in" and potential hormonal interference from insulin resistance and/or high androgens. To endeavor to get milk to come in and keep your milk supply, below are some protocols that may help. Immediate Postpartum Protocols Colostrum Collection: With the permission of your doctor or midwife, collect colostrum after 36-37 weeks. Especially in high risk pregnancies, it is essential to be cleared prior to expression. Early Initiation: Start nursing or hand expression within the first hour of birth. Frequent Removal: Breastfeed on demand or use a hospital-grade pump at least 8–12 times every 24 hours (roughly every 2–3 hours). Night Feedings: Pitocin levels are the highest between 12pm-5am, so don...
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