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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