permission to post Havea mother who is 46, concieved with donor eggs twins, 
has been pumping since thursday 1/31. Has just started to make 3-5ml per 
pumping session which gives me hope.However told me this am she had 
implants 20 yrs ago in her words"behind the mammary glands". Any advice I 
can give her I think she will probably need a SNS when the babies go to breast.
We have time before they will be feed  since they are just 30wks. 
Just one more question for all of you . How are you collecting the colostrum  
to be taken to the nursery or NICU. We are using 1ml syringes and then going 
up from there. I can find no smaller bottles that will fit the pump,than those 
we get from the formula companyl  for direct pumping. We use a silicone cup 
that comes from the company that makes our pumps. Insert it into the bottle  
and thus we can draw up the small amounts the mother makes in the first days
form the little cup.
There has been questions about giving syringe for this purpose to mothers 
since we care for a diverse population. NIcu is now happy to get them or 
should I say some in NICU arre happy.
Had been at Rush here in Chicago to hear Paula Meier talk on breast pumping 
and they use the first small amounts for mouth care on all of the infant even 
the ones that are NPO. Haven't been able to findany more inofmation on this. 
Anyone else doing this
Thanks for any help
Marilyn Fergus RN,IBCLC,RLC

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