I know this should be a "duh" statement, but I really want to share this with 
you all because maybe you can share it with your Managers/Pediatricians and 
probably most importantly new mommies!  I hope this can give you (that work 
in hospitals) some evidence based research to support what you already 
know.  Now you have the evidence to back it up.  I know how difficult it is 
and how hard your heads hurt from banging them against the proverbial wall.  
Here is the study again from Hale's newletter :
 J Med Assoc Thai. 2007 Oct;90(10):1977-80

Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi 
Hospital, Mahidol University, Bangkok, Thailand.

OBJECTIVE: To compare the time of colostrum expression and quantity of 
breast milk between early postpartum women who practiced exclusively 
breastfeeding and who had combined breast and bottle feeding. MATERIAL 
AND METHOD: Seventy mothers who delivered term normal, singleton infants 
were voluntarily recruited during immediate postpartum period and allocated 
into two groups. Study group was 35 mothers who practiced exclusively 
breastfeeding and 35 mothers who practiced combined breast and bottle 
feeding were control group. Expression of colostrum at 12, 24, and 48 hours 
and quantity of breast milk at 48 hours after delivery were evaluated and 
compared between two groups. RESULTS: At 12 and 24 hours after delivery, 
65.7% and 88.6% of study group had colostrum compared to 37.1% and 
68.6% in control group, respectively. The difference was significantly higher in 
study group. However, at 48 hours after delivery, there was no statistical 
difference in both groups. Quantity of breast milk at 48 hours after delivery 
was 5 mL (2, 10) in the study group compared to 2 mL (0, 8) in the control 
group, which was significantly different. CONCLUSION: Exclusively 
breastfeeding since immediate postpartum significantly promote earlier 
expression of colostrum and higher quantity of breast milk.

PMID: 18041411 [PubMed - indexed for MEDLINE]

best,
robin

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