Dear Emily
I am not experienced enough to answer all the questions on your survey but I
would very much appreciate getting the results..Especially the question
concerning reasons for recommending pumping in the hospital. We recommend,
though I know there are some who will agree and others who will disagree
with this, that any mother whose baby does not breastfeed at all or does
not breastfeed well, or who needs for any reason supplementation, by the
second day after birth, for any reason, should start pumping, together with
continued tries at breastfeeding, and supplements of formula until there is
enough mother's milk to do without formula, or the baby feeds well enough.
By "start pumping" I mean every three hours, including one at night at
least. Our rational for this is: we don't know when the baby will start
nursing well - maybe NEXT FEED - and maybe only in another few days or more.
. Starting pumping early , even though I emphisize to the mothers , that
the first pumping sessions are not expected to yield colestrum (sometimes
they surprisingly do..) definitely starts the breasts to working, and then
1/ by the third or forth pumping sessions there is usually some mother's
milk for the baby who up until now had formula 2/ this is very good for the
future milk supply 3/ this helps prevent engorgement.
I decided to send this letter to the group , even though , and because, I
can imagine that there are many different opinions about this
recommendation. Since I am relatively new in the field of breastfeeding
during the first days after birth, I asked several IBCLCs in the area where
I work, about this practice/recommendation, and the general idea was "Make
sure the mothers keep up their milk supply if the baby /mother doesn't
succeed at breastfeeding during the first days after birth, and have the
babies get as much mother's milk as possible, and then when they go home we
(the lactationists) will help them breastfeed.".
I would be appreciative of any opinions and experiences that hospital based
and non-hospital based IBCLCs would be willing to share with me.
CLOSE TO THE HEART
Leslie , IBCLC, Israel
----- Original Message -----
From: "Emily Lindsey" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 28, 2007 6:17 AM
Subject: Breastpumping Survey
I would love to get insight from all you wonderful ladies and men on the
list to
current pumping info for a presentation I am doing soon. Please see the
following link for the survey and thank you in advance! If you would like to
know the results I get please email me privately and I will send you the
compilation.
Emily Lindsey, BSPsy, CLE
http://www.surveymonkey.com/s.aspx?sm=RCY7uIyu0ttHmIQkCA7qVQ_3d_3d
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