In a message dated 3/31/2003 8:19:23 AM Eastern Standard Time,
[log in to unmask] writes:

> Rachel wrote:
> "I'm curious if other people have not seen colostrum but that it was there.
> I was seiously beginging to think that she wasn't producing anything.
> Perhaps it was delayed."

in my experience sometimes in early postpartum, maybe due to IV fluids and
other birth interventions --> edema, no amount of massage and expression will
bring about drops of colostrum, ...I am going to guess at one out of every
six or so very early pp moms I see, pumping is usually even more less likely
to result in milk drops at this early stage for these moms, this usually on
day one or two,

I make a point not to convey anything negative to the mom, quite the
opposite.....

for example, as part of the routine breast and nipple exam if colostrum is
expressed yea! if not I can usually say that I can feel the breast "filling",


and in either case, colostrum expressed or not, I tell moms that a well
latched baby can get colostrum breastmilk out WAY better than any pump and
better than I can with my fingers.

of course there are those cases where there is a really significant delay or
ultimately inadequate production.......

Debbie Tobin
RN BSN IBCLC LCCE
Springfield, Virginia USA
In the Fairfax County suburbs outside the Washington DC beltway

<A HREF="www.BestBreastfeeding.Info">www.BestBreastfeeding.Info</A>



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