In my experience there is a backlash. A big pump but then the next few are less. When I go for a stretch without pumping I usually try to pump more frequently the next day. You have to sleep sometimes!

I agree that you do have to let yourself sleep - especially with twins! Don't beat yourself up over that. Some women are able to go longer between pumping, but in the beginning when you are establishing a supply, I would try to make sure you are pumping frequently. When the babies are older, you can experiment with spacing your pumping out more and see how it affects your supply. Are you exclusively pumping?

I am exclusively pumping right now because my babies are in the NICU and we probably still have another 6 weeks there. During the day I try to do every 2 hours, 3 max. At night the lactation people told me to go 4. My supply is pathetic so it felt pretty good to get so much at this one pump but I pumped every 2 hours today and went back to my normal low volume. This whole thing is so frustrating.

I think you dealt with it perfectly. I assume you are recovering from a c-section, so combine that with producing milk for twins and you really need to get your rest. I don't think you can do that on a regular basis, but it's ok once in a while until you get your supply established. After taking a break from pumping like that doing every 2 hours the next day is probably the best way to recover. My twins were in the NICU for two weeks and couldn't breastfeed for the first month, so I went through something similar. Only in my case they told me pump every 3 hrs - even at night. It was murder...especially after I had them home and had to bottle feed them AND pump every three hours. But it got better and my supply increased so much because of all the pumping. By the end of the first month I was making more than they were eating. Hang in there - it will get better!! And are you sure your supply isn't good? Babies don't eat very much when they are that young - I remember thinking I was barely making anything, but in reality they weren't eating very much at that point and I had to start freezing the extra at the end of the 1st month. Hopefully the same thing will happen for you!

what my ped has told me and what I have done with my son and now my daughter is make sure you are nursing at least every 2-3 hours during the day. At night, it's ok to go a little longer between pumping or nursing. You will get a bigger amount out after waiting longer between but that is just because your breasts are fuller having not been expressed earlier. Your supply will increase, you are only 15 days into it so don't worry. Just keep up pumping during the day and you will be fine. Good luck.

Just wanted to add to the encouragement! Sounds like you're doing an awesome job providing for your little ones! Way to go! At 15 days I call that survival mode - do what you can and need to do to get some sleep and still keep the milk going! One thing to consider in the future when planning your pumping is to keep your breasts from getting overfull to encourage higher fat content and also to pump fully to get both fore and hind milk. Be encouraged though - you're at the hardest part of all this and it WILL get better and easier! Hang in there!