Laurie writes:

"I wonder if the poster who sees the larger volumes in 50% of her cases
generally starts mothers pumping later, like after 12-24 hours, like it
sounded she did. This would be quite interesting, because one might harvest
more colostrum by waiting 24 hrs, and this would be ok if baby was not going
to be fed before then. This is counter-intuitive though."

 

I am that poster, and I think that this is an interesting thought, because
at our hospital, the moms to do tend to start pumping more toward the 12-24
hour mark.  I do NOT have them do this on purpose, though; I just can't get
the nurses to realize that they may be hurting the milk supply if they let
the mother "rest" for a while after delivery.  And I am talking about the
NICU moms.  

 

"I'll tell you something else: I am using the largest flange size in most
cases now, which I feel is yielding greater volumes,"

 

It is interesting that you are finding that the bigger flanges help the
mother's obtain more milk, because I have had some NICU moms tell me this,
and a lot of moms find them much more comfortable.  I think Hollister is
saying that a fairly high percentage of moms should use the bigger flanges,
if not at first, then eventually down the road.  Something like 75%?  Our
Hollister rep says that the company is seriously considering adding the
bigger flanges right to the pump kits.

 

Melinda Lueck, RN, BSN, IBCLC

Toledo, Ohio


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