Hi,

When baby fusses at the breast some-times it makes us think that that they don't want to feed as often or as long. But, it's usually the case that they want to feed more. Its fairly unusual for a baby to only be feeding 4-5 hourly, and sleeping all night at this age. Some-times they can seem quite placid for a few weeks after the birth as they recover and get used to their new surroundings. So, when they start "demanding" feeds it can be a bit of a shock for mum! Try offering the breast every 3 or so hours. You will find that she feeds more easily than you would have thought, and that your milk supply improves. Motilium acts to increase your prolactin levels (one of the hormones that makes milk) but it won't have any real effect unless you feed your baby more often.
The letdown reflex is triggered in response to the baby suckling. (or the pump) Most women only notice the first letdown relex, but in fact you get smaller relexes throughout the feed. You might notice that when you feed she seems to be snoozing and just "butterfly sucking" and then she will get "stuck into it" and be sucking strongly again. She has probably just stimulated another letdown. Or, if you are pumping, you will notic the flow slows down, and then when you get another letdown it will start to spurt again.
Stress won't affect your milk supply - women continue to breastfeed in some of the most stressful situations. But, remember, it is normal for babies to feed 8-12 times in 24hours. The Australian Breastfeeding Association's book "Breastfeeding Naturally" is fabulous and only $34.95 - and comes free with a subscription to the Australian Breastfeeding Association. It is a fabulous and informative guide to breastfeeding
Warm Regards
Barb