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Date: | Sat, 5 Oct 2013 08:37:57 -0400 |
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Tricia asks
If infant is unable to breastfeed, what is your institutions policy about
how soon nurses must help the mother initiate pumping?
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Most institution policies are terrible. Pumping should begin in L&D, no
later than 1 hour. You will, in most cases, capture anywhere from 10 to 20
ml colostrum (most likely depending on mode of delivery). If you wait 6-8
hours (many institution policies) you will get drops around the flange if
you are lucky.
After the initial pumping, mom needs to do hands-on pumping to increase
supply and have plenty for the baby.
Ask your hospital to get you this article if you don't already have it:
Parker, LA et al. 2012. Effect of early breast milk expression on milk
volume and timing of lactogenesis stage II among mothers of very low birth
weight infants: a pilot study. J Perinatology. 32:205-209
And ask yourself and the staff at the hospital -- what do we gain by
waiting to have mom pump? Then think -- what do we lose? And the answer should
be evident.
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
Wheaton IL
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