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Subject:
From:
Norma Ritter <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 23 Jan 2013 14:32:57 -0500
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I am posting this for Cindy Garrison, who is having some trouble posting
herself.

Norma Ritter, IBCLC, RLC
Breastfeeding Matters in the Capital Region
www.NormaRitter.com
Join us on Facebook for the latest birthing and breastfeeding news and
views:
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---------- Forwarded message ----------
From: Cindy Garrison <[log in to unmask]>
Date: Wed, Jan 23, 2013 at 1:09 PM

This is my first post since rejoining LACTNET after a long absence.

Thank to all who have shared their analogies. I like the compact car to a
U-Haul example. I also remind mothers that with pumps you tend to get what
you pay for, so not to expect a small inexpensive pump to do the same work
that the more durable, and more expensive, pump could do. Another thing I
will say when comparing pumps, especially for mothers who want to use the
pump their insurer will provide instead of the rental, is to remind them
that the pump for working mothers is designed to be "good enough" to take
over for the baby while mother is at work and be used up to 20 times a week
but relies on the baby to do the real work of stimulating and sustaining
the supply while the hospital pump they have been using is designed to be
as close to what the baby can do as possible and be used 64-70 times a week
for weeks and months if needed because it has to establish and build the
supply for the baby. Comparing warranties has also been helpful to getting
mothers and father to see the BIG picture.

As for mothers returning to work, I have found that they are very anxious
about having a stockpile and are unhappy if told to wait several weeks. I
have gotten a positive reception if I "give permission" to pump for comfort
if needed during engorgement and that it may once be 2-3 times if at all.
That seems to relax the mother and then she listens better when I go on to
encourage her to then take 2-3 weeks to just get adapted to being a family
and learning the baby's routine. I remind them that by 3-4 weeks of age
most babies will develop their own routine and that mothers often will
notice that they may feel a little fuller at one or two times during the
day. Those are the times I suggest they pump *after* the feeding. I remind
them that they are pumping the "leftovers" and shouldn't expect much and
that it will add up as they chill-and-add to their supply. I review how to
warm the milk, how the father will offer the first feeding, and how mother
will pump to replace that bottle. I encourage her to continue that routine
until she has enough that *she* feels she needs in the refrigerator or
freezer. I explain that different jobs make it easier or harder to pump and
some mothers will want extra "just in case" they miss a pumping during a
work day.


Cindy Garrison BS IBCLC
based in a large metropolitan hospital with 10,000 births per year

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