Dear Friends:.
>     I have a question. Why would it be unusual to see an excellent feed in
> the first 24-48 hours?
>
Sorry -- thought I explained this in the post itself -- guess I forgot:
because the excellent breastfeed describes audible gulping and swallowing.
In my experience we generally don't hear gulping before the milk "comes in."
Occasional swallows perhaps (how much gulping is a baby going to do w/
approximately 7 to 14 ml/feed?).  However, there are those few mothers that
have copious amounts of colostrum, and you may hear a baby gulping.  So while
"unusual" it is not impossible."
    Thanks Jan, for your explanation.
    However, it bothers me that babies who latch on well ( as demonstrated in
all the self-attachment videos) would be considered to be doing less than
excellent. Why isn't doing the best that one can not good enough in this
system? Gulping is not approriate at 20 minutes or 20 hours of life, as you
said, because volumes are low.
    Warmly,
Nikki Lee RN, MSN, Mother of 2, IBCLC, CIMI
craniosacral therapy practitioner; childbirth educator
Elkins Park (a suburb of Philadelphia, Pennsylvania; northeastern USA)
supporting the WHO Code and the Mother Friendly Childbirth Initiative

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