Hi Nikki,
The practicalities of relactation when a mother is primarily pumping (as
opposed to having a baby suckling) are that sustaining pumping very
frequently for more than a short time is hard, though you are right it would
probably be better. However, certainly it can work short term and I know
women who have "gone to bed with the pump" in order to facilitate
this.....more easily achieved in cases of pre-placement for adoption and no
mother wants or should be encouraged to spend more time with the pump than
her baby!
Karleen Gribble
Australia
> Dear Colleagues:
> Karleen reminds us of what we have traditionally held as a pumping
> schedule. However, oxytocin and prolactin research (McNealy, among
others;
> probably Odent too and maybe Klaus) shows that babies feed in clusters,
arranging
> the 140-150 minutes/24 hours attachment (Righard, DeCarvalho, Kung-San
> pattern). A more frequent pattern would be to pump more frequently, for
shorter time,
> say 5-10 minutes which is a baby snack; this would keep prolactin levels
> high as the mom catches the milk wave.
> Some women like the scheduled approach, and perhaps their storage
> capacity (Hartmann et al) makes that work, for them.
> Other women do better using the pump, their "electronic baby", more
> randomly, like a baby. Try pumping for 5 minutes every time you walk by
the pump,
> or think about your baby. Do some 'power pumping' (Acker, personal
> communication), every hour for 10 minutes for 4 hours, then go back to
the schedule.
> That will work well for other women.
> Just a suggestion.
> warmly,
>
> Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
> Maternal-Child Adjunct Faculty Union Institute and University
> Film Reviews Editor, Journal of Human Lactation
> Support the WHO Code and the Mother-Friendly Childbirth Initiative
>
>
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