There are hospitals in  England  which  encourage a/n expression for diabetic mothers and for other mothers whose baby might be at risk of supplementation such as those with  a cleft lip/palate.  Whether the 'problem' is  with the  mother or baby it can help prevent early supplementation.  In fact   a/n expression is mentioned in the  latest NICE [national institute of clinical excellence] guidelines 

http://www.nice.org.uk/guidance/index.jsp?action=download&o=40127

There is a policy from Australia here on 
home.ca.inter.net/~jfisher/docs/Appendix%201%20-%20Antenatal%20Expression.pdf 

which refers to   an article by a midwife from a hospital which  does support the practice [Oscroft R (2001) Antenatal expression of colostrum  Practising Midwife  Vol 4 No. 4 pp32 - 35.]

Can anyone in the US or Canada access this full article and share it?  

Cox SG. Expressing and storing colostrum antenatally for use in the newborn periods. Breastfeeding Review 2006;14(3):16.
http://www.accessmylibrary.com/coms2/summary_0286-31224216_ITM

It always seems to get a negative reaction from those in the US.  

Helen Butler
LLL England

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