Jean K asks:
>> How many lactnetters feel comfortable getting mom's permission and using
>> hands-on to teach mothers to express?
>
 I would prefer that the mother does it herself, but often work "hands on" 
in
 the first 24-48 hours while mom has her baby skin-to-skin.  I zap off the
 drops with a small syringe so that no drops are lost and the amount looks
 huge compared to a little at the bottom of a cup.  With our high Caesarean
 and epidural rate, I see many disorganised babies.  They will be given
 formula if their blood sugar drops, so I try and get colostrum into them by
 any means!  Combined with some skin-to-skin time, a swallow of colostrum
 often gets them to the breast.

 Jean Ridler  RN  RM  IBCLC
 South Africa   [log in to unmask]

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