Jean
You wrote "In  Eugene, Oregon, Martha Johnson tells me that she and her
staff are teaching all
new mothers pro-active use of RPS from the earliest feedings..."

Just wanted to let you know that I do give your handout (with
permission/credit) to all mothers and explain RPS briefly. Often I do also
demonstrate and ask mom to do RPS prior to latching or expressing, when
edema is present. I also give the Medela handout on engorgement and hand
expression, making sure to show mom briefly how to do hand expression. Often
I get moms who tell me they could not get a pump or could not afford or had
no transportation. I remind them of these techniques. I try to remember
always to tell them prior to d/c that you can always express when you want
or need to if you refer to these 2 handouts.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA

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