I am certain they did not mean RPS. No mention of it in that book. Would have to look up publication date R/T 2004 JHL article.

As a freshman student nurse on 1 month solo night duty on postpartum nearly 65 years ago, during the WW baby boom, 3600 births a year in our community hospital. No IV fluids in labor except for a few moms with caudals, or in dire emergencies and surgeries.  Vaginally delivered mothers stayed 4-5 days in the hospital, and breast binders for comfort and swelling were routine. Cotton binders were stocked in the linen closet. I applied and reapplied after feedings, many, many breast binders on an 8 hour shift. They worked quickly for comfort, and within a few days, for suppression if that was the goal. If put on properly, according to need for suppression or just for comfortable support, they were, in fact, comfortable. They were used partly because very few nursing bras were yet on the market. 


Fewer mothers were breastfeeding, so despite stilbesterol 3 times a day, many non-nursing mothers became swollen. All babies were NPO for 12 hours, then fed 5% glucose water q. 4 hours till 24 hours, then started on breast or formula.  Unless nursing mothers had a doctor's order for q. 3 hour feedings, babies were brought out every 4 hours to nurse, but most mothers were "encouraged" to leave the baby in the nursery to be fed bottles at 2 a.m. at least the second night, and sometimes, the third. We instructed them to use one side at a feeding, and nurse for only 3 minutes the first nursing day (2nd postpartum day), then increase to 5-7 minutes on alternating sides, using one side only the next day, and then 7-10 minutes the following day. Object was to avoid damaged nipples. They were just postponed till the mother went home!  Nipple shields of glass base and long rubber nipple were commonly used, and sometimes a thick rubber one with inner ridges. Bicycle horn breast pumps available, but a doctor's order necessary to pump. No parents in the nursery, premi or otherwise. 

Anyone curious as to how to apply contact me privately.

K. Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC     Dayton OH

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