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Subject:
From:
Karleen Gribble <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 28 Jan 2008 14:53:18 +1100
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What an incredibly unethical study!
Karleen Gribble
Australia
----- Original Message ----- 
From: "Robin Roots,Rn Ibclc" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, January 28, 2008 2:50 PM
Subject: Early supplementation has major impact on milk supply


I know this should be a "duh" statement, but I really want to share this 
with
you all because maybe you can share it with your Managers/Pediatricians and
probably most importantly new mommies!  I hope this can give you (that work
in hospitals) some evidence based research to support what you already
know.  Now you have the evidence to back it up.  I know how difficult it is
and how hard your heads hurt from banging them against the proverbial wall.
Here is the study again from Hale's newletter :
 J Med Assoc Thai. 2007 Oct;90(10):1977-80

Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi
Hospital, Mahidol University, Bangkok, Thailand.

OBJECTIVE: To compare the time of colostrum expression and quantity of
breast milk between early postpartum women who practiced exclusively
breastfeeding and who had combined breast and bottle feeding. MATERIAL
AND METHOD: Seventy mothers who delivered term normal, singleton infants
were voluntarily recruited during immediate postpartum period and allocated
into two groups. Study group was 35 mothers who practiced exclusively
breastfeeding and 35 mothers who practiced combined breast and bottle
feeding were control group. Expression of colostrum at 12, 24, and 48 hours
and quantity of breast milk at 48 hours after delivery were evaluated and
compared between two groups. RESULTS: At 12 and 24 hours after delivery,
65.7% and 88.6% of study group had colostrum compared to 37.1% and
68.6% in control group, respectively. The difference was significantly 
higher in
study group. However, at 48 hours after delivery, there was no statistical
difference in both groups. Quantity of breast milk at 48 hours after 
delivery
was 5 mL (2, 10) in the study group compared to 2 mL (0, 8) in the control
group, which was significantly different. CONCLUSION: Exclusively
breastfeeding since immediate postpartum significantly promote earlier
expression of colostrum and higher quantity of breast milk.

PMID: 18041411 [PubMed - indexed for MEDLINE]

best,
robin

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