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Subject:
From:
"Laura Hart, RN, BSN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 24 Feb 2002 11:25:16 EST
Content-Type:
text/plain
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In a message dated 2/23/02 10:40:14 PM Eastern Standard Time,
[log in to unmask] writes:


> if babies are having problems with nursing, ie. latch on,
> then they start them pumping in the first 12 hours. I feel like this is
> just an added stress on the patient and could be an easier way for her to
> give up. I have always been taught to give at least 24 hours after
> delivery, sometimes a little longer, and try other methods and ways to get
>

Heather,
I agree with you. I have babies & moms do lots of skin-to-skin & have them
hand express colostrum directly into the baby's mouth. This is usually more
effective than the pump in the first day & gets the baby used to taking food
at the breast. If you have the Medela handouts, there is one that has a nice
explaination of hand expression on the back side (I believe it is the one on
engorgement). I would give the nurses copies of this & have them teach the
patients this method during the first day. It's amazing how quickly most
babies will latch on after 1 or 2 sessions. Sounds like you have a lot of
work ahead of you. Hang in there. It is slow going, but you can make a
difference.

Laura Hart
Winter Park, FL

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