Dear Lactnet Friends:

If a woman is recommended to be on pelvic rest (i.e. no orgasm, no vaginal
activity), then she probably shouldn't have nipple stimulation. However,
this is a theoretical risk. Does anyone have any evidence that nipple
stimulation induces labor in anyone? I'd love to see some.

If nipple stimulation did induce labor, there would be no need for
Pitocin/IVs/misoprostol/cervidil and all the other bells and whistles to try
to start labor.

Here's an abstract of a study done in the UK that shows the babies aren't
affected. I'd love to see some where the impact of hand expressing on the
pregnant uterus is evaluated.

 “Diabetes and antenatal milk expressing: a pilot project to inform the
development of a RCT”

 •Sample: 43 pregnant women requiring insulin
•
•Cardiotocographs were undertaken after the first expressing episode and
none of the

infants showed any sign of fetal compromise.

•Forty per cent of infants received formula in the 24 hours postpartum.
•
•No women showed evidence of hypoglycaemia post expressing.

The intervention was positively received by most women;

95% said that they would express antenatally again if the practice proved to
be
beneficial.

•The amount of colostrum varied according to the number of expressions, the
length of
time in the study and the time spent expressing, with a median of 14 days
expressing and
 39.6 ml of colostrum obtained.”

•Midwifery July 2009 (article in press)
•Forster et al.

warmly,
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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