In a message dated 2/21/2005 4:16:28 PM Eastern Standard Time,  
[log in to unmask] writes:

So my  question is... how do I encourage without ignoring the fact that many 
BFAR are  unable to produce a full supply?


Dear Friends:
    What a lovely question.
    The easiest way to encourage women to breastfeed is  to make sure they 
get started correctly (as soon after birth as baby wants, lots  of skin-to-skin, 
cue-based feeds), and have on-going assessment of baby's weight  gain and 
elimination until we know things are alright.
    This is true for every single mother; every mother  we see in the US is 
at risk for premature weaning and insufficient milk, based  on our cultural 
norms. 
    We can never predict who will and who won't make a  full supply, whether 
they have had surgery or not. By treating everyone the  same, and making sure 
that there is someone to check in with the dyad in that  critical first week, 
we will do well.
    warmly,
    
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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