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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