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Subject:
From:
Kershaw Jane <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 18 Jun 2007 09:05:20 -0500
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One way I have used a creamatocrit is to "prove" to a pediatrician that
the mother had adequate quality of milk, to "prove" that a baby HAD been
efficient or a pump HAD been efficient at the breast.  After nursing,
mother pumped milk that was 35 cal/oz (very small amount of milk).  Had
a mom that md thought was not gaining well because baby wasn't emptying
the breast.  When tested, the milk was 30 calorie, just not enough milk
there.  Won't go into reasons why.  Use it in NICU for small babies to
help determine how long mom needs to pump for hind milk for
lactoengineering.  Use it to tell if a pump is efficient.  Hartmann
studies showed higher calorie milk in low production, lower calorie milk
in higher production.  I don't think that creamtocrits necessarily give
more information, they just verify.  Remember the old test they used to
do in the 1700's - the nail test?  They would express the milk on the
nail, if it stood there, they thought mother had enough fat, if it ran
off, not.  They didn't really understand anything about volume etc, but
they did understand some relationship between milk fat and consistency
of the milk.  I don't think that creamatocrits are necessary in most
practices, and maybe it could backfire in some cases, but any tool can
be used for good or evil - just depends on the attitude of the
practitioner - and their basic belief structures.  Science is NOT evil -
it has no morality.  It's how you use the information and your values
that affects our societal values and outcomes.  Just my 0.2.

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