​Hi all,

I am currently working with groups of midwives and we´re really taking big
steps towards having babies take only colostrum.
I just found out that the strategy we are using is the same one that Diane
Wiessinger writes about in her "Normalfed" web (I´m copying her text):
*"Feeding the Baby (when the baby doesn’t breastfeed) – one possible
sequence*At first – skin contact

Use continuous skin-to-skin contact, low-pressure help as needed.  Even
non-latching babies will move readily to the breast on their own, if kept
on the mother’s chest (especially if birth medications were not used).  Many
of these self-directed babies will go on to breastfeed with little or no
help.

*If birth was medicated – express colostrum by the end of the first hour*

Continue constant skin-to-skin care.  Anecdotally, there is often much more
colostrum available for that first feed than there is at subsequent
feeds. Normally,
of course, the baby would take that large meal himself.  If a non-latching
baby had labor medications, it is likely that he’s going to need help for a
while.  Getting a larger volume of colostrum *now* may mean less risk of
formula supplementation *later*.  At this very early stage, a pump may
work, but hand expression is far less of an intervention."


​It works wonders; midwives are ecstatic and babies who do not manage to
latch or suck effectively after birth are going from the birth wards to the
maternity wards with a belly full of colostrum and an empowered mom,
therefore they are not in immediate risk of receiving formula.

The thing is I cannot find evidence for this practice; I know (because we
see it) that expressing the first hour after birth yields a lot of
colostrum, and I think I´ve read it somewhere, but can´t find it now... Do
any of you have the studies?

Thanks,
Kika

-- 
Dra. Carmela Baeza
Médico de Familia
Consultora Certificada en Lactancia Materna IBCLC
www.centroraices.com
http://www.facebook.com/Consulta.Lactancia.Raices
<http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>

Autora de "Amar con los Brazos Abiertos"
http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html

Comprometida con el Derecho a Vivir
http://derechoavivir.org

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