Pam asks:
<And ten minutes on each side may
mean a fussy baby even sooner due to the over full breasts in the first
place.
So, what age are they talking about? Also, does that mean again, that
all
the experience is wrong and the information of "don't feed the baby more
than
every three hours and there is no reason to nurse more than 10 minutes on
each
breast" nonsense my moms are hearing actually has a research source?>
Heather tells me I misread the source, and I can't pull it back up. I
thought that the reply I quoted in part was from the lead author of the
original study about support not changing the duration of nursing, but
she says it was simply one more person writing in reply to the article (I
think.) Heather, help me out here, because I bet you have a BMJ
subscription and can access the comments easily, which I can't seem to do
today. It was the last comment.
I too was questioning the rigidity of the advice and just pointing out
that it continues to surface, frequently. Many hospital and home visit
nurses, and especially well-meaning relatives and friends who nursed a
decade or more ago, are still generalizing in these terms.
That's why one of the first questions I ask a new mom reporting her
baby's birth to our office: "Were you given any instructions on whether
to use both breasts or just one breast at a feeding?" This brings out not
only what she remembers or didn't remember about what she may have been
told, and what she has been doing, but gives me a chance to say "Newer
information is to let the baby remove as much as he wants at the first
breast before you decide whether he acts like he needs the second side.
If he seems to fall asleep quickly, . . . . ." then I can suggest breast
compression, and finish with "This helps him get the creamier milk that
often takes a longer time to reach the front of the breast."
This is news to most of them. And I often wondered whether this applied
to colostrum too, and I found by expressing from a mother or two during
the 3rd or 4th day, that the colostrum left after a good early feed did
indeed appear to be somewhat creamier looking than what was expressed
first before the initial latch.
Is there any evidence whether that part is so? Maybe someone who has NICU
mothers pumping could do a little empirical detective work by asking a
few of them to express a few drops before and after pumping on day 3 or 4
and observe? If not, at least I have set up such an idea for when the
mature milk is in.
Jean
************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA
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