Hi all lactnetters
I would like your collective experience w/ colostrum volumes. I am very
curious about this and I may even write this up.
Yesterday I worked w/ a teen mom, primip, about 7 hrs pp and she expressed
60 ml using the Ameda Egnell SMB. (That's all we have at my hospital). It
was her first expression for a preterm infant. I also worked w/ a couple
moms, multips, who could only express a drop or two. Hand expression or
pump. Often use RPS, esp. after a c/s birth.
In my experience, about 22 yrs working w/ lactating moms, I have never seen
more colostrum expressed than that, although Nurses have told me they
expressed more. The least amt I've seen was a mom who got virtually nothing
for 8 days, then her milk came in.
I read an ILCA abstract today (I think about encouraging Hispanics to bf)
which said something like 'we explain that there is about 3 tsps (or tbsps)
of milk on first day)." 37ml? I think ? With all due respect to that author,
that statement or belief never did sit well with me. I know there is a vast
range and I'm not really sure if that's the 'average.' It seems my kids got
alot. When moms ask me or when I'm instructing on expressing, like for a
premie, I'll say that I've seen moms get drops for several days and I've
seen moms get ounces right away. If it is a fairly large quantity, it almost
always goes down over the next several expressions, and then picks back up.
It seems some of these mom have stored alot of col. during pregnancy, and
once it's expressed out they have to wait to get more.
Well this is my 3rd post for the day, and I need to go to bed, but I would
be very interested in all your experiences. Please be specific as much as
you can as far as primip vs multip, c/s vs vag birth, age of moms (do teens
really get more milk? I think so - often), hand vs mechanical expression,
type of pump, name of pump, and if premie what gestation. Please include
permission for me to compile the info and use it, of course with no
identifying info on the clients. Feel free to share w/ others who could
email me w/ their experiences [log in to unmask]
Thanks for reading thru all this,
Laurie Wheeler RN MN IBCLC RLC
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