----- Original Message ----- 
From: "gonneke van veldhuizen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, January 28, 2008 11:02 AM
Subject: Re: [LACTNET] Complicated case--storing colustrum prenatally?


> Dear friends,

**Hi Gonneke,

> It is a nice video, indeed. It shows how easy and important handexpression 
> of colostrum is. I do have some second thoughts, though.
> I don't like all the hands on mom that aren't hers. I'd rather see mom do 
> it herself following instructions of the HCP. Or perhaps HCP guiding moms 
> own hands. I think it is not a very effective way of empowering women to 
> handle their breasts for them.

**I was happy to see the routine explained, but agree with your second 
thoughts, just like I have hesitations concerning the tight grip on the 
baby's head in one of the other video clips...

> About routinely hand express and spoon feed following every breastfeeding 
> of a healthy term newborn. If baby does a good job at breast I see no need 
> to hand express and top up. Baby will get all colostrum he needs by simply 
> feeding at breast as often as he needs. If feeding at breast is not well, 
> I think hand expressing and spoon feeding is a great way of providing 
> food, getting baby more alert and protecting milkproduction all in one.

**I was wondering about that, too. Is this really meant to be done? Or did I 
miss a context of a child not thriving?
If mom still feels very full after a feeding, some extra hand expression to 
keep the breast souple might not be a bad idea, but then I would prefer the 
colostrum to be stored, 'just in case' it might be needed at a later moment, 
and leave the baby to feeding on demand by acting upon early cues.

> Warmly,
>
> Gonneke, IBCLC, LLLL in southern Netherlands, where the first spring 
> flowers are peekig out of their winter-nest

**In the northern Netherlands, they are waking up as well. I even heard 
birds sing in a way that made me think Spring is in the air! :-)

Bye,

Marianne Vanderveen

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