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Subject:
From:
Lynn Shea <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 25 May 2004 10:06:16 EDT
Content-Type:
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In a message dated 5/25/2004 12:08:07 AM Eastern Daylight Time,
[log in to unmask] writes:
It is hard to determine a percentage because
it is dependent upon the type of population you are dealing with.  I tend to
see larger nipples with Black and Asian women.  I have also found them with
hispanic populations.  If you need percentages, I would be unable to provide
them
accurately.  My feeling, however, is that the better the fit-- the better the
pumping.
Am surprsed at ths and wonderng what others thoughts are.....
many many Moms have huge volumes wth lactogeness 2 AND most don't pump at
all-for how many generatons now???
How about seeng ths as a normal process??
so sorry for the mssng letters -my daughter's computer won't type them-hope
you can get the dea w/o them!!

We can say that women survived many centuries without state-of -the-art
pumping, but my guess was that many of them were pretty miserable.  As we are
all
aware, with progress comes set backs.  Many of us would not call epidural
births --progress.  Many of us would rather see the baby at the breast rather
than
the pump.

We can see the glass as half full or half empty when it comes to pump
I don't NEED a percentage,but getting an idea of numbers would be essential
in determining whether our approach to pump rental needs to change.
Your belief that a breast needs to be completely/optimally emptied either by
the baby, pump or combination in order to remain healthy is the issue that I
would like to see discussed here.
I realize (of course) that gadgets are often necessary and this doesn't
concern me. What does is their inappropriate use. Is it inappropriate to suggest to
a mother, milk just in with 4 oz in each breast, that because her baby is
taking only 1oz out of each-she needs to pump in order to avoid clogged ducts
and/or mastitis? Is this the standard of care in other settings?
If so, this is very different from how I currently practice and how I've
practiced in the past.
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts
I

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