Thanks Winnie,
Yes I agree with you. I know I can't hand express 2 breasts simultaneously
and I also can't do it for 30 minutes a go. However, in the context of
talking about whether there is material difference in the performance of
pumps that both remove the same amount of milk  I think that my observation
that milk supply appeared to decrease with hand expression (and the
associated reduction in breast stimulation) even though the same amount of
milk was being removed is interesting. If milk removal is driving milk
supply breast stimulation should not be a significant factor but at least in
the case of relactation (even after milk supply has been established for a
few weeks) this does not appear to be wholly the case. I think it may have
also been significant that the pump I used, while not quick at getting the
milk out in my case, did give what I think was very good breast stimulation.
Was this important?
Karleen Gribble
Australia


 The first, as she
> implied, may be the difference between single and simultaneous
> double removal.  I believe a study did show higher prolactin levels
> with the double pumping.  I suppose with the right setup, some very
> adept moms might be able to hand express both at the same time, but
> I think that would be logistically difficult for most.
> The factor that would be difficult to quantify is that of fatigue.
> Let's face it, it takes less effort to hold 2 flanges in place (a
> rather passive acitvity) than to be repeatedly flexing (with
> resistance) and extending the fingers.  Is there an unconscious
> tendency to slow down or not compress as firmly or effectively after
> a while due to the hands getting tired?  It might not even be
> something the mom is conscious of but could be a factor.
> Just speculating.
>
> Winnie
>
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> ------------------------------
>
> Date:    Sun, 9 Feb 2003 17:30:47 +0100
> From:    "Elise M. Chapin" <[log in to unmask]>
> Subject: Re: Cultural foods to make milk
>
> I live in Florence, Italy, and have never heard of Coke being promoted to
> help production.  I HAVE heard the following:
>
> Milk makes milk
> Bechamel sauce can improve your supply
> Beer is good for milk production
>
> Elise
>
> Elise M. Chapin
> Firenze, Italia
> mailto:[log in to unmask]
> MAMI - Movimento Allattamento Materno Italiano  http://www.mami.org
>
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> ------------------------------
>
> Date:    Sun, 9 Feb 2003 12:35:33 EST
> From:    Ann Perry <[log in to unmask]>
> Subject: increase illnesses in formula feed children
>
> When I posted last week about how illnesses such as ear infections, et
were
> higher in formula feed children and that physician practices are not that
> interested in changing this, I was not implying that these practices want
to
> encourage more illnesses for profit.
> Why I posted this was to emphasize how in these practices that seeing many
> children with these complaints is considered the "norm" and not to keep
the
> clients coming back.  I do not believe that these practices are looking to
> make money on these illnesses.
> What I would like to see is the emphasis on these common illnesses, that
are
> exacerbated by formula feeding, to be reduced by encouraging and even push
> breastfeeding just as they do with vaccines.
> I don't want this to be a debate on vaccines but I do want to look at how
> these are pushed and incorporated into all practices.  I also know that
> breastfeeding does not have the big $$$$$$$ backing it but I am an
optimist
> that we, the lactation community, is growing and gaining in the public and
> that somehow we can figure this out.
> Ann Perry RN IBCLC
> Boston, MA
>
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> ------------------------------
>
> Date:    Sun, 9 Feb 2003 14:12:15 -0500
> From:    L Jonathan Kramer <[log in to unmask]>
> Subject: Re: LACTNET Digest - 7 Feb 2003 - Special issue (#2003-201)
>
> For pg, bf, & pre-pg moms, fish or high omega-3 polyunsats are needed to
build up reserves of omega 3 FA's, especially here in the states, where
average DHA in human milk (0.14%) is less than 1/3 the WHO-recommended
minimum (0.46%).  Salmon is the best choice, having high DHA and low
mercury.  For vegetarian moms, the levels are even worse; regular use of
flax seeds or the oil is the best choice, although walnuts are also good.
>
> >I interpreted Jan's post to refer not so much to total reduction in fat
> >in the diet, but just as much to a change from saturated fats to poly-or
> >better yet, monounsaturated fats.
>
> Jonathan
>
> Only G-d knows the formula for mother's milk!
>
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> ------------------------------
>
> End of LACTNET Digest - 8 Feb 2003 to 9 Feb 2003 - Special issue
(#2003-207)
>
****************************************************************************

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