Yes, Bonnie, I see your reasoning here but....it is not always appropriate and
necessary to apply special situation care to normal moms and babies. I think
that has been well demonstrated in obstetrics.

As with any intervention....benefits of early pumping must be weighed against
risks. If a mom is focusing on pumping is she relaxing, skin to skin with her
baby? Is she learning to respect her baby's cues? Is she developing trust in her
innate ability to care for an infant, and produce milk for him?  If you are
concerned about the baby getting something.....why not have her manually express
some colostrum into her baby's mouth every few hours until he catches on?  ( I
am talking about the first 24 hours here.)

In the absence of evidence that early pumping is clearly necessary...I don't
hink we should set policy on the assumption that "more intervention is better."
In general, that kind of thinking has cost moms and babies an awful lot.

Just MHO (with a little help from ILCA),
Susan Keith-Hergert RN, MS, CPN, IBCLC







Bonnie <[log in to unmask]> on 03/15/2000 10:48:22 PM

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

To:   [log in to unmask]
cc:    (bcc: Susan J Keith-Hergert/MGCR/CHP)

Subject:  6 hr pumping rule....




I know the issue was clarified ie: re a baby in NICU but just a thought here...
Is milk not made on a supply & demand basis?  Therefore, if you have a baby
not br.fdng for what ever the reason, is it not safe to assume, that by
initiating pumping, and pumping frequently, the milk will be there for when
baby does succussfully latch and feed?
Bonnie RN,IBCLC

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