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In a message dated 2/2/2007 2:10:32 PM Eastern Standard Time,
[log in to unmask] writes:
Mechanical pumping of colostrum often results in a disappointment, because
it will stich to the flange and the bottle and often is dried out before
reaching the bottom of the bottle. For mom it looks like she's got nothing and
baby will get something else. But the same smaal amount (and 5-7 ml will do for
that first time) will fill an entire spoon! Mom sees she's got milk and baby
won't need anything else. It's a win-win situation, because it will convince
the HCPs around that mom does have milk, so they will settle down as well.
I totally agree with Gonneke. I have attended lectures about the importance
of setting mothers up with a pump within the first 6 hours when a baby or
mother are unable to breastfeed. I asked the speaker about moms hand
expressing instead and she said that was not looked at in this research. Now, the
research that was being presented was paid for by a pump company.
Another advantage of moms hand expressing is that they can easily do this at
the baby's bed side and apply the expressed milk onto the baby's lips for
mouth care even if they are NPO.
I also hear from staff that they did not set the mom up with a pump because
she was too uncomfortable recovering from the birth (most of the time a
c-section). Having her hand express is much easier, requiring far less need to
sit up or the look of machines being attached to you.
I guess this would be a good research project; hand expressing compared to
mechanical pumping in the first 24 hours postpartum.
Ann Perry, RN IBCLC
Boston, MA
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