Tubular breasts need to be monitored as they often coincide with low-milk-supply issues. An absence of growth or change in shape during pregnancy could indicate that you’re vulnerable to low-supply issues, so care needs to be taken to ensure your baby gets what she needs.
If you do have a low milk supply, follow the advice for small-breasted mums until your supply is established. The more milk you drain from the breast, the more it will produce. If your baby feeds efficiently, she is usually able to drain your breast better than a pump. Monitor how often she sucks and how often she swallows.
If it’s more than 10 sucks per swallow, milk transfer is poor. In this case, or if she’s sleepy at feeding time, it’s better to drain your breasts to increase milk supply. Bottle-feed the expressed milk, and breastfeed for comfort. Once your supply increases, return to breastfeeding for nutrition.