Jennifer,
Using the Original Pump In Style (as opposed to the Advanced) is risky in
terms of maintaining a full milk supply for a mom in this situation. The
original usually does a good job of frequent pumping, say, if a mom is
working full time but it is chancy when the baby isn't going to the breast
at all. Having said that, it is better than nothing and certainly better
than a hand pump.
Medela does have a grant program for their rentals. Every Medela rental
station gets a $20.00 grant per month for use for situations like this.
I had a rental station for several years and offered several times to get
moms pumps at cost if they were in dire straits. Maybe there is someone in
your area with a who would be willing to do this?
Hope this helps,
Corrine Haselden LLLL, AAHCC
----- Original Message -----
From: "Jennifer tieman" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, November 17, 2004 10:01 PM
Subject: Pumping for the baby who may never breastfeed
> I have a friend who has a child in NICU right now who is pumping full time
> due to baby having anoxic brain damage. Baby was born full term, 3600
gms,
> with likely placental abruption and was resuscitated at birth, starting
with
> no heartrate and no respiratory rate. He was on a ventilator for a week,
> then was weaned off. His EEG and brain MRI show severe brain injury and
the
> prognosis is very poor for significant neurologic recovery. He currently
> does seem to swallow secretions, and is sucking a little bit on a
pacifier,
> but when speech pathology evaluated him they had a hard time getting him
to
> swallow and felt he was as risk for aspiration. Baby will likely get a
> G-tube on 11/23 and then hopefully come home.
> Mom has been pumping from birth, every 3 hours, with a classic in the NICU
> and a Lactina at the Ronald McDonald House. She is getting 4-6 oz per
> session she says (she wasn't sure how much in 24 hours as she hadn't been
> keeping track but I'm guessing 32-40 oz based on her description.) She
> intends to pump long-term if baby never learns to coordinate suck and
> swallow. I'm thinking this volume of milk is fine.
> My question is about pumps for her. When she comes home from NICU she has
> at home only a Medela handpump. She has no insurance and is financially
> challenged. There is a rental station in the next town, but the cost
would
> be a hardship for this family. I have a Pump In Style that I have used
for
> a year. Any chance this pump would be enough for her? (yes, I know they
> are personal use pumps and the theoretic possibility of contamination.)
> Anyone know of financial assistance for pump rental or purchase?
> What can I tell her about how often to pump and for how long? I know some
> exclusive pumpers are eventually able to pump less frequently and still
> maintain a supply.
> Anyone have any experience with a child with profound neurological issues
> like this? The parents are very hopeful that he will have some recovery,
> but his test results are grave, so we just don't know. It's been very
> painful for this mom to deal with healthcare providers who are trying to
> make her "face reality." Several even suggested to the parents that they
> simply don't feed him, and another nurse told her while she was cuddling
the
> baby "You know he won't be this cute and cuddly when he gets bigger."
> Jennifer Tieman
> Family Physician
> Grateful mom to 4 healthy children, including my toddler nursling Caroline
Rose
>
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