Subject: | |
From: | |
Reply To: | |
Date: | Tue, 26 Feb 2013 16:25:29 +0200 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Linda, I think each preterm situation is different. However, many
breastfeeding preterm infants may not be able to adequately "drive" the milk
supply. It is important for the mother to initiate a good supply that the
baby can grow into. Does this always necessitate an electric breast pump?
I my experience - no. (I have seen a teenage mother produce a plentiful
supply with - shudder - a "bicycle-horn pump"! I have also seen hand
-expression work.) An efficient electric pump is, however, convenient.
Whatever the mother uses, *frequent* removal of milk is important, starting
as soon as possible after birth. There is research - but I am not in my
office right now to check.
Jean Ridler RN RM IBCLC
Cape Town, South Africa
>
> I am looking for opinions as I update policies and protocols at my new
job.
> If there is research to back this up, I am not finding it. One protocol
is
> for all mothers of preterm infants to pump for two minutes to "bring the
> milk down", then breastfeed, then double pump for 15 minutes. Another is
> for all mothers who have had a postpartum hemorrhage or who were on
> magnesium sulfate to initiate pumping every 3 hours. I am finding all the
> pump promotion, marketing, sales, and rentals makes breastfeeding seem
> difficult at best, that every mother needs an electric pump because the
baby
> is unable to adequately do the job. I also feel this dependence on
pumping
> is unethical because the hospital and the pump vendor are profiting. Do
you
> see any basis for these recommendations? Am I missing something?
>
> Linda Anderegg, BSN, RNC, IBCLC, RLC in Chicago
>
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email:
set
> lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet
welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|