Hi Pamela and all,
There is some newly published research that Jan Barger mentioned when she and Carole Peterson were here last May. It shows that pumping within the first two hours of birth provides a bolus of colostrum due to the oxytocin "rush" from delivery and that is why babies who nurse in the delivery room get such a nice feed. (we always suspected this...now there is research to back it up!). We used this information to get two pumps dedicated to Labor & Delivery with the preemie pumping pattern.
I can share a copy if you'd like to email me privately so I can attach the document.
Best regards,
Mary Kay Smith
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
LA Parker1, S Sullivan1, C Krueger1, T Kelechi2 and M Mueller2
1University of Florida, Gainesville, FL, USA and 2Medical University of South Carolina, Columbia, SC, USA
Objective: The purpose of this randomized pilot study was to collect
preliminary data regarding the feasibility and effects of early initiation of
milk expression on the onset of lactogenesis stage II and milk volume in
mothers of very low birth weight (VLBW) infants.
Study Design: Twenty women were randomized to initiate milk
expression within 60 min (group 1) or 1 to 6 h (group 2) following
delivery. Milk volume and timing of lactogenesis stage II was compared
between groups using Wilcoxon's rank sum tests.
Result: Group 1 produced statistically significantly more milk than group
2 during the first 7 days (P¼0.05) and at week 3 (P¼0.01). Group 1
also demonstrated a significantly earlier lactogenesis stage II (P¼0.03).
Conclusion: Initiation of milk expression within 1 h following delivery
increases milk volume and decreases time to lactogenesis stage II in
mothers of VLBW infants.
Journal of Perinatology (2012) 32, 205-
Mary Kay Smith, RN, IBCLC, FILCA
Lactation Consultant
Henry Ford Hospital
Detroit MI
313-916-8363 office
146-4333 in house pager
313-990-4333 long range pager
"Babies are born to breastfeed"
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