Dear Diane,

I found the key to that happening in our hosptial is to have the home get 
started pumping early and present them with colostrum by the time daily 
"rounds" are over and nurses begin to process the new orders, especially for 
those who are too tiny to feed at the breast.  Or even hand express if the 
mother can have someone help her do this.

Our doctors really do prefer the babies to have colostrum first, but it is 
up to the LC's and nurses to make that happen. A casual "we have colostrum 
to use" I'm sure you'd prefer to use it,  goes along way to making it 
happen.  Does your hosptial have LC's who can committ to keeping preemie 
mom's being a priority to see? If not, don't be afraid to start by going to 
collect the milk from the mother yourself, to make it very available for the 
very first NG feeding.

As for the evidence, it abounds and should be easy to come by. Best wishes, 
in creating some LC hours for yourself.  NICU is a very unique place to work 
.

LuAnn Smith
York, PA



>>
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