>
>
>
> "Are there any studies showing higher milk yields if the mother brushes
> =20
> or combs the skin over her breasts before expressing?  This advice has =20
> always intrigued me because I can't figure out what part of a typical =20
> feed it is meant to mimic."
>




>
> What about the baby massaging the breast with his hands and body as he
> works his way to breast?
>
> Diane Wiessinger, MS, IBCLC  Ithaca, NY  USA
> www.wiessinger.baka.com
>
>
>

Is this the type of research you're looking for:
Arch Dis Child Fetal Neonatal Ed. 2001 Sep;85(2):F91-5
A randomised controlled trial to compare methods of milk expression after
preterm delivery.
Jones E<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Jones%20E%22%5BAuthor%5D&itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_RVAbstractPlusDrugs1>
, Dimmock PW<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Dimmock%20PW%22%5BAuthor%5D&itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_RVAbstractPlusDrugs1>
, Spencer SA<http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Spencer%20SA%22%5BAuthor%5D&itool=Email.EmailReport.Pubmed_ReportSelector.Pubmed_RVAbstractPlusDrugs1>

OBJECTIVES: Primary: to compare sequential and simultaneous breast pumping
on volume of milk expressed and its fat content. Secondary: to measure the
effect of breast massage on milk volume and fat content. DESIGN: Sequential
randomised controlled trial. SETTING: Neonatal intensive care unit, North
Staffordshire Hospital NHS Trust. SUBJECTS: Data on 36 women were analysed;
19 women used simultaneous pumping and 17 used sequential pumping.
INTERVENTIONS: Women were randomly allocated to use either simultaneous
(both breasts simultaneously) or sequential (one breast then the other) milk
expression. Stratification was used to ensure that the groups were balanced
for parity and gestation. A crossover design was used for massage, with
patients acting as their own controls. Women were randomly allocated to
receive either massage or non-massage first. MAIN OUTCOME MEASURES: Volume
of milk expressed per expression and its fat content (estimated by the
creamatocrit method). RESULTS: Milk yield per expression was: sequential
pumping with no massage, 51.32 g (95% confidence interval (CI) 56.57 to
46.07); sequential pumping with massage, 78.71 g (95% CI 85.19 to 72.24);
simultaneous pumping with no massage, 87.69 g (95% CI 96.80 to 78.57);
simultaneous pumping with massage, 125.08 g (95% CI 140.43 to 109.74). The
fat concentration in the milk was not affected by the increase in volume
achieved by the interventions. CONCLUSIONS: The results are unequivocal and
show that simultaneous pumping is more effective at producing milk than
sequential pumping and that breast massage has an additive effect, improving
milk production in both groups. As frequent and efficient milk removal is
essential for continued production of milk, mothers of preterm infants
wishing to express milk for their sick babies should be taught these
techniques.

-- 
Karen G
513-325-2550(C)
www.karengromada.com/

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