The New ILCA standards for evidence based practice state "If effective
breastfeeding, as demonstrated by milk transfer, is not observed within the
first 24 hours...............initiate pumping with a hospital grade pump."

Up until that time, of course, the mom and babe are to be rooming in, doing skin
to skin, learning cues etc. But, I read this to be supportive of the earlier
suggestions that it is not necessary to get such a mom pumping at six hours.

Susan

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