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Subject:	Re: early pumping and hand expression
From:	Jean Ridler <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Tue, 6 Mar 2012 21:49:12 +0200
Content-Type:	text/plain
Parts/Attachments:	text/plain (22 lines)

Hi Debbie

Women who expressed colostrum using hand expression at least 6 times daily in the first 3 days had the most milk later on.
By the end of the study, these women were producing 45% more milk than women who hand expressed less than twice a day.
Both groups used the electric breast pump with the same frequency  (Massage and compressing while pumping).  Rhine et al 2009,  Ohyama M et al  2010.  (sorry can't find full reference in my home office)

We usually start with hand expression 2 hourly on day one, then a combination of pumping (vacuum setting for mother's comfort) and hand expression for the next couple of days. Our aim is a full supply by day 10.

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

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