Hi,

We are designing a study to compare colostrum volumes at different times.
We decided to study this because in our clinical experience in a
birthing/postpartum/maternity ward, volumes of expressed colostrum are
surprisingly LARGE during the first two hours after birth, and then that
bounty seems to diminish.

Our midwives have helped mothers to hand express colostrum in the first two
hours after birth, and volumes have systematically ranged from 25 to 65 ml.

This makes sense, as Nature would want the baby´s gut well protected as
soon as possible after birth... So our hipothesis is that colostrum volumes
are higher and it is smuch easier to express right after birth.

We always use hand expression, preferably done by mother.

The informal prototype protocol that has been in place for a few months
now.
Which moms express their colostrum?: those whose babies have not latched or
have done no effective sucking in the first hour and a half after birth.

Why an hour and a half?: because two hours after birth, mom and baby are
taken to the maternity ward, where baby will be supplemented with formula
if she has not eaten (bad policy, but it´s the one that´s there). *Our*
reign ends after those two hours, if you know what I mean.

Hope this helps and more of you try this out, maybe we can all get a lot of
data!!!

​Kika​


-- 
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>

Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html

Comprometida con el Derecho a Vivir
http://derechoavivir.org

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