LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
Kathy Boggs <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 23 Dec 2001 17:20:18 EST
Content-Type:
text/plain
Parts/Attachments:
text/plain (37 lines)
If twins are nursing frequently and effectively, there should be no reason to
pump after. If babies are smaller, or sleepy or not effecting milk transfer I
usually advise moms to insurance pump 4-5 times per day...and to get the
colostrum into the babies. The key is evaluating each baby and the mom and
giving individualized advice. If term twins are bf vigorously there is
certainly no need to pump.  I err on the side of caution in the hospital
where theoretically mom can get help. If we can jump start milk supply, they
often can go home with no further pumping. We try to see twin moms every day
until discharge (many are with us 4 days dt C-section) because we know they
need added support. Also, often twins are a few weeks short of term and don't
BF as well as term babies.  All these things have to be taken into
consideration.

With mothers with augmentation, as long as the surgery was done without
interrupting ducts or nerves and the mother did not have hypoplastic breasts
to begin with I assume she will make enough milk and evaluate as I would any
bf mother. In the case of reduction, I assume she will not make enough milk
until proven otherwise and let her know of this risk.  I have had several
reduction moms who have made ample milk supplies but many more who have not.
In these cases insurance pumping can't hurt, but if baby is bf effectively
and often I'm not sure it makes a difference. If we don't see much milk
transfer in the hospital we will sometimes set the mother up with an SNS
before she goes home.  We also recommend early and frequent wt. checks if she
is not supplementing.  I think the most important concept in all of this is
to evaluate each nsg dyad or tryad (is this a word?) and make an indidualized
plan.
Now to wrap some presents.

Kathy Boggs, RN, IBCLC
Mtn. View, CA

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

ATOM RSS1 RSS2