In my experience, the babies that truly need supplementation (meet medical
criteria) are also not sucking well. So I think it makes sense to have mom
express prior to the feeding. If baby was latching well, the supplement
could be given via lactation aid while baby was doing his breastfeeding.
In my experience also, the mother often does not extract enough colostrum
for the amount prescribed by the doctor to feed infant. So formula is given.
In my experience, many mothers don't express when asked to or not often
enough. Not sure why but can think of several reasons, one of which might be
lack of continuous access to supportive staff, including the fact that
lactation staff are doing inpatients, outpatients, and are not there 24/7.
In my opinion, if baby was kept skin to skin (a practice not used nearly
enough in our hospital) the amounts extracted would likely be increased, and
the need for colostrum would likely be decreased, a win-win situation.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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