While human milk shortens length of stay, clinical  experience and research 
suggest, that in the USA and GB, discharge is delayed by  insisting on full 
breastfeeding before discharge.  Our mothers do not stay  with their babies (even 
with single room NICU care) like otjher countries which  have paid maternity 
leave.
 
It also appears that cups may delay discharge as  well. 
Effect  of bottles, cups, and dummies on breast feeding in preterm infants: a 
 RCT
Collins CT,  Ryan P, Crowther C et al. BMJ, doi:10.1136/bmj.38131.675914.55 
(published 18  June 2004)
   
 
nConclusions: 
“The use of cups significantly increased the proportion of  infants 
discharged home fully breast feeding  even with the high non-compliance.  The obvious 
benefit of this outcome  needs to be considered alongside the financial 
implications for the health system of longer hospital stays and the lack of  effect 
of cup feeding on any breastfeeding.” 



 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP

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