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LACTNET  December 2013, Week 1

LACTNET December 2013, Week 1

Subject:

Re: pumping to maintain a milk supply

From:

Tricia Williams <[log in to unmask]>

Reply-To:

Lactation Information and Discussion <[log in to unmask]>

Date:

Sat, 7 Dec 2013 17:32:19 -0800

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (78 lines)

nomail


On Sat, Dec 7, 2013 at 4:23 PM, Karleen Gribble <[log in to unmask]>wrote:

> Thank you very much for this Virginia. It is very interesting to hear that
> expression to maintain supply is not a new phenomenon and can be with good
> reason if feeds are being restricted.
> Karleen Gribble
> Australia
> On 05/12/2013, at 10:06 AM, vgthorley wrote:
> >
> >
> > In an era when restrictive feeding times were unquestioned, Waller saw
> hand-expressing as the way to get breastfeeding off to a good start and
> support the MER. He implemented hand-expression to prevent what was clearly
> engorgement, drain the fattier milk that remained, and safeguard the
> supply. He advocated teaching expression antenatally, and hospital stays
> were 12-13 days, but longer if there were breastfeeding difficulties. I
> have been unable to find evidence of any instructions for when to stop. In
> the introductory part of a 1947 lecture he talked about dairy cows and how
> the milking at set intervals caused excess milk production and the
> stretching of the cows' udders, and he also described his observations of
> sheep in the field and the lambs' response to the MER. Although he
> described the very frequent feeding by the lambs, he didn't apply this to
> human lactation. The milking of dairy animals seems to have influenced his
> thinking.
> >
> > Other systems also used expressing after feeds in the 1960s and 1970s,
> whether influenced by Waller's Woolwich methods or local adaptations of the
> Truby King system. These were systems in which the 4-hoursly schedule was
> considered sacrosanct and the length of the feed restricted, too.  Back in
> 1965 in the after-care Maternal & Child Welfare hospital, I myself was
> forced to express after each feed in my first baby's early weeks and the
> mothercraft trainees did hot-and-cold-splashed and breast massage for
> external stimulation, but my supply continued to decline. Why? - because my
> baby was kept in the nursery or shut in the Matron's office, to which I had
> no access, and she screamed for about 45 mins before each feed. After
> unsuccessful feeds by an exhausted, sleepy baby, she was topped up by
> bottle and I expressed, hardly anything. It didn't help that come staff
> made negative comments, including that I was a bad mother who "didn't love
> [my] baby", because "if I loved her" I'd have her exclusively on the
> bottle. That really hit my MER!
> >
> > Heroic methods to maintain lactation are used when access to the breast
> is restricted (whether by hospital regimens or long working hours). In the
> mid-nineteenth century, under the gang system of agricultural labour,
> mothers were obliged to be away all day in distant fields, with no access
> to their babies. To keep the babies calm, they left opiates in the rags the
> babies sucked on. Opiates were commonly used in England for babies by the
> urban and rural poor, usually in "soothing syrups", for a variety of
> reasons (Phillips V, 1978).
>
>
>              ***********************************************
>
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>

             ***********************************************

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November 2002, Week 5
November 2002, Week 4
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November 2002, Week 1
October 2002, Week 5
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October 2002, Week 3
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October 2002, Week 1
September 2002, Week 5
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April 2002, Week 5
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April 2002, Week 3
April 2002, Week 2
April 2002, Week 1
March 2002, Week 5
March 2002, Week 4
March 2002, Week 3
March 2002, Week 2
March 2002, Week 1
February 2002, Week 4
February 2002, Week 3
February 2002, Week 2
February 2002, Week 1
January 2002, Week 5
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January 2002, Week 3
January 2002, Week 2
January 2002, Week 1
December 2001, Week 5
December 2001, Week 4
December 2001, Week 3
December 2001, Week 2
December 2001, Week 1
November 2001, Week 5
November 2001, Week 4
November 2001, Week 3
November 2001, Week 2
November 2001, Week 1
October 2001, Week 5
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October 2001, Week 3
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October 2001, Week 1
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April 2001, Week 3
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April 2001, Week 1
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March 2001, Week 3
March 2001, Week 2
March 2001, Week 1
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February 2001, Week 2
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January 2001, Week 3
January 2001, Week 2
January 2001, Week 1
December 2000, Week 5
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December 2000, Week 3
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December 2000, Week 1
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February 2000, Week 3
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February 2000, Week 1
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January 2000, Week 3
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January 2000, Week 1
December 1999, Week 5
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March 1999, Week 1
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March 1998, Week 5
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March 1998, Week 3
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March 1998, Week 1
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January 1997, Week 5
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January 1997, Week 3
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December 1996, Week 5
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December 1996, Week 3
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March 1996, Week 3
March 1996, Week 2
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February 1996, Week 5
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February 1996, Week 3
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February 1996, Week 1
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January 1996, Week 4
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January 1996, Week 1
December 1995, Week 5
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