J Med Assoc Thai. 2007 Oct;90(10):1977-80
Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi
Hospital, Mahidol University, Bangkok, Thailand.

Results:....."However, at 48 hours after delivery, there was no statistical
difference in both groups. Quantity of breast milk at 48 hours after
delivery was 5 mL (2, 10) in the study group compared to 2 mL (0, 8) in the
control group, which was significantly different."

I wish that they had followed this out another 48 hours to see if there was
a greater difference as lactogenesis II kicked-in.

Frankly, this is not a study I will be sharing with my hospital staff in an
effort to decrease supplementation.  The result shows a 250% increase in
average breast milk production in those who exclusively breastfed compared
to those who combined breast and bottle.  But, the difference is *only 3 ml*
.

I do not believe that this study will sway anyone's opinion on
supplementation.

Barb Berges, BS, RN, IBCLC
near Cleveland, Ohio

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