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Date: | Tue, 15 Jun 2010 10:01:36 -0400 |
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Remember even expert opinion is a level of evidence. RCT's are a higher
level of evidence, but we don't have them. I would love to have head to
head trials of the different pumps in the same mother (a cross-over
design) to see what's most effective. Perhaps once the FDA must approve
breast pumps as safe and effective there will be money to do so.
My own experience based on 19 years of clinical practice is that while a
few mothers can initiate and maintain milk production with consumer
grade pumps, most do not manage over time, and switching them to the
piston driven hospital grade pumps makes a huge difference in helping
them recover and maintain supply. Human beings are complicated, and no
one pump works well for every mother, but we do see a difference in
supply in our practice when we work with moms and babies over time spans
of months or years.
Catherine Watson Genna, BS, IBCLC NYC
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