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Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 4 Jul 2012 13:35:54 +0100
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>Why is it necessary to pump at all in the first 24hrs?  Why could we 
>not suggest that moms hand express?  It is a vital skill that all 
>moms should be familar with and from experience, I have found that 
>they are able to obtain more colostrum using this method.  Usually 
>if needed, pumping can be added on Day 2.


Hand expression is far more effective in the early days. Teaching 
this as a skill is useful and is part of UNICEF Baby Friendly.

Good practice in the UK would be to hand express (only if necessary - 
NOT if all is well) and then only use a pump when the milk has come 
in.

Hand expressing needs no special equipment and gets the mother 
familiar with her body - and it collects colostrum better :)

Heather Welford Neil
NCT bfc, tutor, UK


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