<Is it remotely possible that Barbara's mother-to-be (the one who rented
a
breastpump prenatally to "deal with engorgement" ) was actually planning
to
use the pump to induce labor?>
Each of my daughters was well over 2 weeks overdue and each very
obviously carrying a large baby, one 17 years ago, and one 9 years ago.
I was familiar with the article about the Israeli research with inducing
labor in grand multiparae with a breast pump. As a CB educator and OB
nurse, I was also familiar with the not-so-joyous rigors of pitocin
induction, especially as it was then practiced in our hospital.
I had "connections" whereby I could obtain a good electric breastpump. I
gave my eldest daughter the induction article to read, and let her make
her own decision as to whether she wanted to give it a try. When it was
my youngest daughter's turn, her sister simply told her of her experience
of trying to induce labor.
Though each probably ripened her cervix quite a bit during the hours
using the pump in the manner described in the article, each ultimately
required pitocin augmentation or several attempts at induction. Each
eventually had a C.Section for "failure to progress" in 18+ hours of
labor, and each had a baby over 9 #. I was there for both labors and
C.S's, and I am convinced that they received excellent care and the
longest possible trial consistent with the safety of the baby. In
retrospect, perhaps too long.
But the good news is that both of them had the same fortunate results
mentioned in the Israeli study-"an early and copious milk supply with
little or no engorgement", (and virtually no nipple tenderness.)
Due to bilateral collapsed lungs, my youngest grandson was transferred to
the local children's hospital within 12 hours. The morning of my
daughter's 3rd day postpartum, when I arrived to visit, she handed me
FOUR 45 cc. volufeeds full of colostrum/transitional milk to take to him,
and asked me "Mom, do you think this will be enough?"
By the time she was released on her fifth day, he was in an open crib
with all tubes, etc. out, and ready to spend the day with her in the
comfy privacy of the special small breastfeeding lounge, and to go home
the next day.
In my experience observing the outcome as a grandmother, this would not
be such a bad idea to be considered more often, perhaps offered routinely
by the obstetrician as a starting option. Is this now being done
anywhere? If so, regardless of whether it induces labor without further
intervention, is anyone noting a better effect on early breastfeeding
than that of multiple IV's/pitocin?
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio
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