Dear Friends:

Here's a study relevant to the recent discussion.

Pediatrics International<http://www3.interscience.wiley.com/journal/118514418/home>
  *Volume 52 Issue 1<http://www3.interscience.wiley.com/journal/123262400/issue>
, Pages 39 - 43*

Original Article
Manual expression and electric breast pumping in the first 48 h after
delivery
KEYWORDS
expression • human milk • intensive care unit • pumping • separation
 ABSTRACT

Background: Early feeding for preterm infants via the mother's own milk is
crucial for lowering morbidity and mortality. Obtaining the mother's milk in
the first few days is sometimes difficult; an effective way of mediating
this problem has not yet been established. The aim of the present study was
therefore to investigate whether breast pumping using a hospital-grade
electric pump was more effective in maximizing the available milk volume and
more comfortable than manual expression in the first 48 h after birth.

Methods: A sequential cross-over study was performed in a maternity ward, in
a tertiary perinatal center, Japan. Eleven women whose infants were admitted
to the neonatal intensive care unit were sequentially allocated to either
manual or electric breast expression (Symphony) for their first expression
after 6 h following birth. The women then used the other method for the next
expression, and continued to alternate between methods until seven sessions
had been completed for each method. The time interval between expressions
was 3 h. Main outcome measures were volume of milk expressed per session and
pain assessment at each expression using the Wong and Baker face-scale.

Results: Net milk yield per woman was 2 mL manually (median; range:
0–12.6 mL) and 0.6 mL (0–7.2 mL) by electric expression (P < 0.05). The
frequency of women stating no pain was higher for electric pumping than
manual expression (90% vs 36%, respectively; P < 0.05).

Conclusions: In the early postpartum period, the best way to obtain
colostrum is by gentle manual expression. For mothers who feel pain during
manual expression, use of the stimulation phase of the Symphony pump may be
preferable.


warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

             ***********************************************

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