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Subject:
From:
"Lisa Marasco, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 3 Feb 1997 21:28:04 -0500
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Lactnetters,
Because there have been a couple of posts asking for more information, I have
decided to post some quotes from the books that are being circulated so that
everyone can get a flavor of the authority of the text and advice. The
following is from the third edition, and though the fourth and fifth have
modified the teachings, this information has not been revoked and is still
being quoted and taught widely- Lisa M
--------------------------------------------------

The following info. is from Preparation for Parenting: A Biblical
Perspective.  Gary and Anne Marie Ezzo.  3rd edition, c.1990.

Re:How often to feed the baby and how to time the feedings.

"When we speak of breast stimulation, we are referring to the intensity of
the suck.  A consistent influence on the sucking reflex is the hunger drive.
 The hunger drive is associated with the time it takes for an infant to
digest and absorb the milk.  The infant that feeds on a
three-to-four hour routine and whose digestive metabolism has been stabilized
will demand more, thereby stimulating greater milk production as compared to
the child that feeds often but demands less. "For example, the newborn that
feeds every one-and-a-half hours will stimulate only enough milk to meet that
need.  That is why demand-fed babies feed more orten--they're hungry more
often.  It is also the reason so many new mothers get discouraged and give up
breast-feeding so quickly: it's practically all they are doing. "On the other
hand, an infant that nurses every three hours will signal for greater milk
production.  Since the need is greater, the supply is increased.  Because the
supply is increased, the baby goes longer between feedings.
     "As a general rule, you will not feed less than every three hours or
more than every four.  Anything less than three hours ultimately wears Mom
down, often decreasing milk production.  Anything over four hours fails to
produce the stimulation needed for a sufficient
quantity of milk.  The right balance between time and stimulation is already
worked out for you in the parent-controlled feeding plan."
(pg.87)

 "From the point of birth onwards, infant hunger patterns will become either
stable and regular or unstable and inconsistent.  The determining factor is
the routine or non-routine of feedings, and a minimum of three hours between
feedings.  When infants are fed on the
PCF plan, hunger patterns stabilize. "The reason is the hunger mechanism
(digestion and absorption) operates as if it has a metabolic memory that is
reinforced by routine.  The child with feeding periods that cycle with
regularity throughout the day will establish a hunger metabolism that is
stable and predictable.  For example, if you feed at approximate times of
7:00 a.m.,  10:00 a.m., 1:00 p.m., 4:00 p.m., 7:00 p.m., and 10:00 p.m., your
child's hunger metabolism will begin to line up to those times.  But that
happens only when the feeding periods are routine."  (pg76)

 "During the first days of nursing, find a comfortable position and begin
with a time period of three to five minutes on each breast. [The footnote
here states, "As a general rule, you should not feed your baby while he or
she is lying completely flat, such as when the mother herself lies down to
nurse.  If the infant's head is not tilted up, it is possible for milk to
collect where the ear opens into the Eustachian tube, causing a build-up of
bacteria, leading to an ear infection."]  "That time frame will allow for
sufficient stimulation and you are more apt to avoid the soreness commonly
associated with early nursing." (pg.89)

 "Once your milk is established, you should be nursing ten minutes a side for
a total of twenty minutes or use the 5-5-5-5 method, which is to alternate
each breast after five minutes with burping in between.  That is especially
helpful when you have a sleepy baby to assure that both breasts are
stimulated.  Maximum time per side should not exceed fifteen minutes.
 Studies show that in established lactation, the breasts are usually emptied
in seven to ten minutes per side, providing the infant is sucking vigorously.
 "If you are spending thirty minutes to an hour nursing or feeding, then
there is too much playing taking place.  Use a pacifier for extra sucking,
not yourself.  You are setting eating habits now.  Mealtime is not playtime;
do extended cuddling before or after the feeding, not during."  (pg.90)

From Sleep Patterns table--pg 78
 Week   # of feedings/day    Hrs. between feedings  Sleep hrs.
        1,2             6-7                  3                   5
         3               6-7                  3 1/2            5-6
         4               6-7                  3 1/2            6
         5               5-6                  3 1/2            7
         6                5                    4                   7-8
         7                5                    4                   8
         8               4-5                  4                   8
        9,10           4-5                  4                   8-9
         11             4-5                  4                   10
         12             4                     4                   10-12

I will be posting quotes from Babywise, the secular edition of the fifth
edition of Prep, later.

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