I am not familiar with common BF'ding practices in China.  I can add,
though, that I often wonder about the outcomes of some of the Asian
moms I see at work, here in southern California, at our busy hospital
(700+ births a month).  A good number of them still firmly believe they
have NO MILK and insist on bottle feeding for the first 3-4 days. 
Unfortunately, they feed with a small, rapid-flow nipple (courtesty of
the pharmaceutical company, of course) and feed *large* volumes of AIM.
 Many do not pump, or they pump a few times, for a few minutes, then
give up because "nothing is there", and it confirms their belief that
they have no milk.  You get the idea.  Then, of course, normal anatomy
and physiology comes into the picture, their breasts fill and are
uncomfortable...but at that point, they are at home and it is up to
them whether they seek help or not.

I have to wonder if the "need" in China for nursemaids going out to
homes to do breast massage could be eliminated by changing
breastfeeding practices during the initial postpartum days.  I do
credit the Chinese government, however, in their creativity for
creating both jobs and revenue.

Carole Jernigan
RN, BSN, IBCLC

 
> Date:    Wed, 25 Oct 2006 23:30:29 -0400
> From:    Norma Ritter <[log in to unmask]>
> Subject: Breast massage
> 
> From the Shanghai Daily
> 
>
http://www.shanghaidaily.com/art/2006/10/26/295267/Breast_massage_in_demand.htm
> Breast massage in demand
> Yang Lifei
> 2006-10-26
> 
> AN ongoing baby boom in the city has created huge demand for
> nursemaids, especially those who are trained in breast massage for
> new
> mothers who have trouble producing their own milk.
> 
> Several household service companies in the city said demand is
> growing
> quickly for nursemaids with professional qualifications in breast
> massage.
> 
> An experienced masseuse can spend hours massaging a new mother's
> breast to prevent stiffness and stimulate the secretion of milk. The
> service costs between 200 yuan (US$25) and 600 yuan a massage.
> 
> Motivated by the high payment, many nursemaids are signing up for
> training courses to learn breast massage.
> 
> Feng Yajun, a trainer at Shanghai Haoshi Service Center, said she has
> taught the skill to more than 200 maternal and infant care workers so
> far this year. She had fewer than 100 students last year.
> 
> Demand has been pushed by the baby boom and the growing popularity of
> breast feeding in the city.
> 
> In the past, many women shunned breast feeding for fear of ruining
> their figures, but a growing number of new mothers are catching on to
> the benefits of breast feeding, said an official surnamed Liu with a
> household service company.
> 
> "They are more willing to nurse a baby with their own milk, however,
> many are unaware of what to do when they have difficulty producing
> milk," Liu said.
> 
> Only nursemaids with special training in massage will be dispatched
> to
> serve customers in need, she said.
> 
> The Chengjie Mother and Infant Service Agency in Xuhui District has
> invited doctors to give massage lessons to nursemaids, who then
> practice in hospital before they go on duty.
> 
> "We are receiving more calls for breast massage service than ever
> before," said company director Yang Li. "Sometimes nursemaids who are
> good at the skills are asked to serve in the ward immediately after
> the client gives birth."
> 
> About 131,000 babies will be born in the city this year, up from
> 123,901 last year, according to a forecast by the Shanghai Population
> and Family Planning Commission.
> 
> The birth rate will rise to about 137,000 in 2007 and peak in 2015 at
> about 160,000, the commission said.
> 


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