For those of you who work with newborns, how long do you feed nonlatching, normal newborns expressed colostrum only before you feel the need to begin adding formula.  According to Riordan and Auerbach's Breastfeeding and Human Lactation  it says Mother should begin expressing breastmilk and feeding it to baby with cup or syringe if baby's not latching by 12-24 hours of age.  It also states that on average 37 cc (range of normal is 7-123 cc) is yielded in the first 24 hours postpartum with approximately 7-14 cc ingested per breastfeeding in the first 24 hours of age.  I see mom's who are only getting a cc or less of colostrum per pumping for the first day or two.  Is that enough to feed to baby as frequently as they show feeding cues (strive for at least 8x per 24 hours but many are too sleepy to eat that many times in the first 24-36 hours) until Lactogenesis II or does formula need to be begun before this?   Is there a point when these small quantities being pumped are inadequate, even when baby acts more or less satisfied with it.  These are fullterm, normal newborns who are at low risk for hypoglycemia.  Thank you.  Sally Myer RN, BSN, ICCE, CLC (working toward IBCLC)  

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