I would really like to reiterate what Karen has said about actually
extracting milk to make milk.
Two things I always check with my patients is not only if the pump is
working but is the pump roperly applied and at the proper pressure and what
is her state of relaxation while pumping. The pump is not always at fault.
Second thing that i have found is that giving Formula at breast via a
lactation device is not always the answer. Although they are appearing to
suck and that serves a purpose, they are not emptying the breast. For babies
who do not have a good suck pumping is necessary. i have seen many babies
hooked on a device at breast, but not really breastfeeding. Pumping can be a
difficult and time consuming act but so is everything else and if we get
moms into a bit of over supply we certainly get more action.
We use a feeding /pumping plan of 15 minutes each, limiting the time at the
breast if there is little milk transfer and spending more time making milk.
Than as supply and latch/suck improves we decrease pumping and increase time
at the breast. This works well for our multiples, premis and FTT babies and
they are off all devices in several weeks or in the case of premis, they are
usually off all this shortly when their due date really was barring any
compications. Especially if this is all initiated early.
Am I still on topic or have I lost you all
Attie Sandink RN. IBCLC.
Burlington, ONT. Canada
-----Original Message-----
From: Karen Kerkhoff Gromada, MSN, RN, IBCLC [mailto:[log in to unmask]]
Sent: Tuesday, January 11, 2000 8:27 PM
To: [log in to unmask]
Subject: Re: pumps
In a message dated 00-01-11 18:26:10 EST, you write:
<< But is it better to actually extract the milk, or to have a better pump
stimulating the breast? >>
One has to move milk to make milk, so I vote for any pump working best for
extraction--unless the pump is injurious to breast tissue.
BTW, I'd like to see us distinguish between breast/nipple "stimulation" and
"milk removal/milk transfer" because we used to think any nipple/breast
stimulation was enough to establish milk production. Now we have the
evidence
that milk must be removed from the breast if the the breast is to make/keep
making milk. The word "stimulation" can confuse what is really meant.
<< Why are these excellent hospital grade machines not extracting the milk?
>>
Any given pump may work better for any given mom, although I'd expect
certain
pumps (and even certain models) of "excellent hospital grade" pumps to
usually work better. However, breast pumps are machines, and machines can
have mechanical problems. Has the pumps' pressure been checked with a gauge
recently? Any weird noises in there?
Karen
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