Jodine asks,


> I remember reading or hearing some time ago about the volume of milk
> transfer in the first minute of a feed.
>
> Can anyone help me with this? A colleague in my PR world is looking for
> examples of things that happen in one minute, and I'd like to forward this
> one.
>

Now, is that the first minute after the MER?  The first minute the baby is
suckling?  The first minute of a baby with a very active, strong suck?  The
first minute of a baby with a very subtle, but effective suck?  The first
minute of a baby who has a disorganized suck?  The first minute of the baby's
first nursing?  The first minute of the baby who is 3 days old?  The first
minute of the baby who is a month old?  The first minute of a baby who is 6
months old?  The first minute after a mom that has an overactive letdown?
The first minute of a mom that has insufficient glandular tissue?  The first
minute on the second side?  The first minute of a mom w/ oversupply?  The
first minute of a baby doing nutritive -- or non nutritive suckling? The
first minute in which the baby suckles nutritively for a full minute, or the
first minute in which he takes ten good sucks, rests, and takes 10 good more
sucks?  How long does that first minute last?  Is it a football minute?  How
long is that minute?  60 seconds?  Or two minutes?  Which first minute????

I think this is where we've gotten into lots and lots of problems -- assuming
that all mothers deliver (and all babies request) the same amount of milk in
the same time.  I suspect if you read that there is something like that
somewhere, it wasn't evidence based.....

Jan Barger, RN, MA, IBCLC, RLC
Lactation Education Consultants
www.lactationeducationconsultants.com

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