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Thu, 15 Feb 2007 11:32:37 EST |
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I did not see the research presented, and am definitely one of the slow to
change folks. Not that I don't accept change, I do, but my brain wants so bad
to hold onto 20 years of knowing. Haha. SO, that said, are we absolutely
certain that the method of receiving milk for a baby is negative pressure
sucking only and that the tongue plays no part whatsoever in triggering a let
down, in compressing the breast ducts to release milk, etc. I ask because I hand
express rather easily and there is zero vacuum happening for hand
expression. It seems to me we do not use our tongues much for sucking a straw (of
course adults and newborns are different creatures) and that perhaps a baby
sucking without the tongue being used properly at all should then provide milk,
but it doesn't really and it hurts like crazy. If something causes pain to
signal us to change what we are doing there may be some evolutionary reason for
the stimulus to change our behavior. Pain is less when the tongue is in a
certain spot and more milk is transferred then also. I know that great pump or
not, if I hand express after not a single drop of milk comes to the pump, I
can get milk to come with compression.
I am not doubting the research even though for the most part my
understanding is it that in the past if not now it has been funded by a pump company
where it stands to reason proving vacuum is all we need makes sense. I wonder if
zero milk was coming to the baby according to ultrasound, of if in fact it
was just less milk that compression brought until the let down triggered.
Knowing a larger bolus of milk comes during a let down, but that milk can still
come between let downs too, just not in so great an amount.
I guess I am going to have to get that panel on cd or something so I can try
to wrap my head around why all my videos and text books are so wrong. Haha.
The longer I do this work the more I am supposed to forget what I know!
Yikes.
Thanks,
Pam MazzellaDiBosco IBCLC, RILC
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