If the Mom has a history of pre-term delivery I would be very careful with
my recommendations. I would not want her to "blame" the expression, and by
extension breastfeeding for the premature delivery. We can rationalize it in
many ways, but the "blame game" is not reasonable. I had six documented
miscarriages in a year and a half between my Baby #2 and Baby #3. Because
they were all early - first trimester miscarriages and because I lived in a
rural place at the time it took a while to figure out what was happening. At
some point I bitterly resented nursing my baby. Even now, 10 years later I
still remember tat dark place. I nursed anyway - she is very allergic and
was very attached, but it affected my relationship with her for a few years.

What if you get a frozen milk from another Mom, or an offer to express if
the need arises. And at the same time try to help this poor woman to feel
positive and hopeful.

-- 
Henya
Brooklyn, NY

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On Mon, Jun 21, 2010 at 12:12 PM, Laura Wasielewski <[log in to unmask]>wrote:

> Hi Yasmeen,
>
> Just to clarify, I don't think antenatal expression itself is necessarily
> weird. The example you gave of nursing a child while pregnant is a perfect
> example of a very normal case of "antenatal expression." I could also
> possibly see the value of antenatal expression if mom has a history of
> preterm delivery and/or is a high risk pregnancy with preterm delivery
> likely. A small stash of milk could help those moms avoid formula in the
> first few days. What I do find strange is a blanket recommendation that ALL
> pregnant women need to express during pregnancy *just in case* they deliver
> early. In my opinion this approach doesn't seem like it's treating birth and
> breastfeeding as normal (which I thought was particularly strange given that
> the recommendation was made by a prominent midwife). Perhaps antenatal
> expression would not be a bad idea for all if the goal was to teach hand
> expression before delivery???
>
> Just my two cents!
>
> Laura Wasielewski MS, CCC.SLP, IBCLC
> Los Angeles, CA
>
> Date:    Mon, 21 Jun 2010 03:18:42 -0700
> From:    Yasmeen Effath <[log in to unmask]>
> Subject: Re: Antenatal expressing
>
> Dear WiseOnes,
>
> I am confused specially since some of you seem to think of expressing milk
> antenataly as weired, never or rarely heard of and certainly do not
> recommend to any mother. Do correct if I am missing something, are there not
> many mothers around the world who continue to nurse their older children
> through the pregnancy with no risks attached whatsoever? How is expressing
> very different from allowing a child to nurse through pregnancy?
>
> Take Care
>
> Yasmin
> (Just counselled a mother who was confused about continuing to nurse her 18
> month baby and she is 4 months pregnant)
> Mumbai, India
>
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