Melinda says:
<<I still remain curious about something: I asked in an earlier post about
evidence that the "bolus of colostrum" that seems to be present in mothers'
breasts after birth "goes away" or is "reabsorbed" after a while. Several
people have commented on the bolus "going back up the ductal tree" or
something like that, and I would really like to see the evidence or studies
that show this. Like I said in that earlier post, after many years of
hospital-based work, I do NOT usually see that bolus disappearing, and often
will see it when mothers pump 12-24 hours after birth (for whatever reason).
They will get that first bolus and then may only be able to get drops with
the pump for a period of time after that.>>
I believe that was in some of Peter Hartmann's work -- whether stated at a
conference at ILCA some time back or in his written work, I can't be certain.
But that is where it came from.
Interesting you are still seeing a bolus after pumping 12 to 24 hours for
the first time. I am not. And I have been doing this work for 25 years also.
I can remember a very few moms that may have been able to pump as much as 5
or 7 cc when they pump the first time at 6 to 12 hours (but generally they
don't pump anything), and they have been few and far between. Enough that
when a mom gets that much, we comment on it and how unusual it is. Today's mom
finally pumped 5 cc, and she has now pumped 12 times since the baby was born
on Friday night. Didn't start pumping until Saturday, about noon.
How much of a bolus are you seeing when a mom pumps for the first time at 12
- 24 hours? And when you say "often will see that bolus..." what do you
mean by often? Every time? 50% of the time? 75%? 25%?
I would guess that I see a "bolus" of 5 or 7 cc about 10% of the time when
mom starts pumping later than 1 to 2 hours after birth.
How about the rest of you? What are your experiences? When I lecture
around the country, I find that when I bring this up, I've had just about the same
response of "nothing," that I've seen. Of course, I've not lectured in
Toledo in years, so maybe that's it. :>D (Joke, joke -- that's a JOKE!)
Jan Barger, RN, MA, IBCLC
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