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Fri, 2 May 2008 20:00:02 EDT |
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Angie asks:
We are trying to improve how quickly we get a breast pump to moms' bedsides
to begin pumping for their NICU babies. Does anyone have any research other
than the 1998 article by Furman that says within 6 hours? How soon do your
policies say that moms should be given a pump? What is it based on? I
greatly appreciate any and all responses.
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Angie,
Why is anyone WAITING 6 HOURS (!!!!) to get mom to start pumping? They
should be pumping within the first hour after birth, just as we put a baby to
breast within that first hour. There IS a bolus of colostrum available to the
baby who is put to breast -- and there is a bolus of colostrum available to
the pump as well. Do we have a published study? NO!!! Why not? I've been
begging for this for several years now. Those hospitals that do assure that
moms pump within the first hour after birth (there are a few -- not many -- but
as I travel around I hear about more and more) find that there is at least a
10 - 20 ml bolus -- occasionally 30 ml -- and even up to 4 ounces in one
case and 10 ounces (yes, ounces!!!) in another case.
The second pumping will not get nearly as much -- but if you wait for 6
hours, you will get drops around the flange if you are lucky, and it can take up
to 6 to 7 full pumpings to get much of anything. Meanwhile, what is our poor
little one in the NICU eating if he is ready to eat? Donor breastmilk if he
is one of the few lucky ones in the US -- formula if he isn't.
I am BEGGING for a study to be done on this so we have documentation.
Of course, it means that you have a pump in L&D.....think anyone can manage
that? Not to mention teaching the L&D staff how and why this needs to be
done.
Not yet off my soapbox on this issue:
Jan Barger, RN, MA, IBCLC
Lactation Education Consultants.
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