Once again, I am awake on my night off while the rest of the world sleeps. I have worked night shift for years without having this problem, but ever since I returned to work from bedrest and recovery. I have been unable to sleep at night. I thik this is because before, I would have my premed classes demanding me to keep a normal schedule as often as possible.
Several days ago, after getting the sinking feeling that my supply was starting to drop, I reverted to keeping a log of my pumping sessions and milk production, and it turned out that I was correct. So after puming like crazy again, with no effect, I went on another course of Reglan. This time, instead of going to the Breastfeeding medicine doc, I just cornered my family doc in the halls at work and picked up the called-in script the next day. Only this time, instead of gradually increasing my dose over the span of a week, I just started the full dose from the word "go". The results have been much different this time. During the first course, I didn't see or feel any results or side effects until about 4 days after reaching the full dose. Not so this time. I have been taking it for 2.5 days and as of yesterday morning, I noticed a big difference. It started with me not really pumping any more than before, but about every 2 to 3 hours, I would feel like I was completely engorged, which I have not felt since Zach was a newborn. I would think the milk fairy had left me the motherload only to pump about 3.5 to 4 ounces. Usually that is the amount I get every 4 hours or so, and when I pump more frequently, I get lower amounts. Well, yesterday, I got that every 2 to 3 hours. (Keep in mind I haven't really been to bed yet, and my yesterday is really 2 days ago!) So today, after a busy night at work and limiting chances to pump, followed by the need to stop at the grocery store on the way home after a damned-near blizzard outside, I was pretty uncomfortable and so when I finally sat down to pump, I got over 6 ounces. I haven't done that since day 1! (I know it isn't exactly record-breaking, but this is a big deal for me!)
So today, I was off, and I have been feeling engorged every 2 hours. Again. And this is just the beginning. The start of day 3 of the Reglan. I probably won't reach peak until I've been on it for a week or so. Holy Milk, Batman!