You may want to refer to the following studies, which I found useful for
the paper I just completed on IMS.

The following is just the part I found useful for breastfeeding management
and helping mothers avoid IMS.  If you'd like a more complete bibliography,
email me.

Nofia

Bear and Tigges
1993    Management Strategies for Promoting Successful Breastfeeding. Nurse
Practitioner. Vol. 18, No. 6/June, pp. 50-60.

Excellent article for pointing out to nurses and others dealing with new
mothers who won't sit down to read more.  Overview: Breastfeeding
technique, vitamin and mineral supp., initiation time, early follow-up by
medical proffesionals, common problems and their management, weight gain,
perceived inadequacy of milk supply, jaundice, sexual adjustment of couple
postnatally, mother's employment.

Chen, et al.
1995    Breast-Feeding Counseling by a 24-Hour Telephone Hot-Line.

24-Hour hotline for nursing mothers.  Almost all calls made by mothers,
over half primaparas; most questions raised when baby was 8 to 14 days old;
most frequently asked questions: insufficient milk, frequent and loose
stools, weaning, drugs, supplements, maternal contraindication. Incidence
of breastfeeding in hospital increased from 50% to 73.4% and breast-feedig
for more than  one month from 22.7% to 42.4% before and after the promotion
program.  Conslusion: mothers need more information and access to follow-up
information services and counseling if they are to breastfeed successfully.

Hill, P.D.
1991    The Enigma of Insufficient Milk Supply. MCN. Vol.16,
November/December, pp. 312-16.

Pamela Hill is a leading nursing researcher on the subject of Insufficient
Milk Supply.  This article cites possible ways to avoid and solve the
problem of Insufficient Milk Supply.  Among methods suggested: nursing
immediately after birth, proper positioning, frequent feeds, duration of
feeds no less than 20 min., breast massage, relaxed and confident mother,
counting wet and soiled diapers, appearance of breastmilk, familial
support.

Hill P.D., Humenick S., Brennan M.L.
1997    Does Early Supplementation Affect Long-Term Breastfeeding? Clinical
Pediatrics. 36 (6) 345-50 Jun.

Walker M
1989    Management of Selected Early Breastfeeding Problems Seen in Clinical
Practice.  Birth 16:3, pp. 148-158.





Email: mailto:[log in to unmask]      Website:
http://members.tripod.com/~briutek/index.htm
ICQ: 7300871