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From:
Rachel Myr <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 15 Jul 2005 23:09:06 +0200
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I believe it was the work of Anne-Marie Widstrom (there should be two dots
over that 'o') that showed that milk volume on day four was most closely
related to frequency of feeds on day two post partum.  From my sample of two
(one mother, two courses of lactation) I can report that as a primip I
experienced impressive increase in breast size and firmness well before
leaving the hospital at 46 hours post partum.  My husband bought me a blouse
I could breastfeed in (it buttoned down the front), presented me with it at
about 35 hours and I couldn't get it around me, though it would normally
have been my size.  My daughter was latched on for about 20 of those first
35 hours, nursing well, following a long labor with multiple interventions
of the kind we often see with breastfeeding problems, but we were lucky and
experienced none of them.  I'm still grateful to the postpartum staff where
she was born because we got terrific care there.  I think she was done with
meconium by the time we got home, and she was over birth weight when we went
back for the PKU.  My son was born in a different hospital with more
outdated routines and policies but I didn't follow any of them and he got
the milk going in short order too.
I see this regularly now.  If the baby has unlimited access to the breast
and is able to nurse effectively, they are having transitional stools by 48
hours at the most, and some are above birthweight on day four, in primips as
well as multips.  Mothers who start hand expressing colostrum and feeding it
to the babies no later than day 2, if baby is not actively rooting and
latching by then, seem to bring in a full supply sooner than those who wait
for the baby to sort it out which often doesn't happen until day 3 or 4
where I am, by which time everyone is so anxious that it's no fun for
anyone, least of all the baby.
It is my distinct impression that women who breastfed into the next
pregnancy, experience faster lactogenesis II than average, particularly
those who are still breastfeeding the older child when the baby is born.  I
have no figures to back this up.
Rachel Myr
Kristiansand, Norway

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