I made a statement about pumping after birth a few days ago. Since then, I 
have noticed a large number of responses. I think my original message about 
pumping in the first hour after birth was COMPLETELY misunderstood and I 
would like to clarify this.

A IBCLC colleague of mine came back from a conference once having learned 
about the colostrum bolus that is present in that first hour. After that time, 
we initiated pumping for ANY mom whose baby would do absolutly nothing in 
the way of nursing, latching or anything in that first hour or two. I was NOT 
referring to NICU babies at all. I was referring to the support of a mom whose 
baby is initially clueless for whatever the reason and unable to do anything at 
breast. We have continued to use our pumps for this and any other nursing 
problems and I personally think that we have been doing a much better job at 
supporting Mom's growing milk supply by doing this when necessary. That's all 
I was talking about and I am not sure why this generated so much 
conversation about how baby should really be at breast, etc,. I was speaking 
only about the extenuating circumstances that sometime occur. That is all.

There are  those babies (mothers medicated or not) who just do NOT nurse or 
even attenpt in those first couple of hours. These are the mothers we have 
pump (or in my case) learn how to hand express.

I just wanted to clarify this. I was glad to see (I think it was Jan Barger or 
Marsha Walker) mention this colostrum bolus thing as well.

Betsy Riedel RNC, IBCLC

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