K Jean Cotterman:
Please write a book!
Melinda Harris-Moulton


On Mon, Jan 6, 2014 at 8:52 AM, K. Jean Cotterman <[log in to unmask]>wrote:

> I am certain they did not mean RPS. No mention of it in that book. Would
> have to look up publication date R/T 2004 JHL article.
>
> As a freshman student nurse on 1 month solo night duty on postpartum
> nearly 65 years ago, during the WW baby boom, 3600 births a year in our
> community hospital. No IV fluids in labor except for a few moms with
> caudals, or in dire emergencies and surgeries.  Vaginally delivered mothers
> stayed 4-5 days in the hospital, and breast binders for comfort and
> swelling were routine. Cotton binders were stocked in the linen closet. I
> applied and reapplied after feedings, many, many breast binders on an 8
> hour shift. They worked quickly for comfort, and within a few days, for
> suppression if that was the goal. If put on properly, according to need for
> suppression or just for comfortable support, they were, in fact,
> comfortable. They were used partly because very few nursing bras were yet
> on the market.
>
>
> Fewer mothers were breastfeeding, so despite stilbesterol 3 times a day,
> many non-nursing mothers became swollen. All babies were NPO for 12 hours,
> then fed 5% glucose water q. 4 hours till 24 hours, then started on breast
> or formula.  Unless nursing mothers had a doctor's order for q. 3 hour
> feedings, babies were brought out every 4 hours to nurse, but most mothers
> were "encouraged" to leave the baby in the nursery to be fed bottles at 2
> a.m. at least the second night, and sometimes, the third. We instructed
> them to use one side at a feeding, and nurse for only 3 minutes the first
> nursing day (2nd postpartum day), then increase to 5-7 minutes on
> alternating sides, using one side only the next day, and then 7-10 minutes
> the following day. Object was to avoid damaged nipples. They were just
> postponed till the mother went home!  Nipple shields of glass base and long
> rubber nipple were commonly used, and sometimes a thick rubber one with
> inner ridges. Bicycle horn breast pumps available, but a doctor's order
> necessary to pump. No parents in the nursery, premi or otherwise.
>
> Anyone curious as to how to apply contact me privately.
>
> K. Jean Cotterman RNC-E, IBCLC
> WIC Volunteer LC     Dayton OH
>
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