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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 27 Aug 2000 22:30:14 +0200
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Barbara, I was so interested in your post of 18th August about the MICAM
studies pictured in the Breastfeeding Atlas which show the maturity of human
milk.

You wrote, "Research has shown that the rate of human milk maturation is
related to breastfeeding initiation and frequency and duration of feeds.  Early
maturation has been shown to be predictive of increased infant weight gain,
weeks of sustained bfg, and maternal bfg satisfaction.  Dr. Humenick
developed an easy way to determine milk maturation using Whatman #1 filer
paper, a large canning jar ring, and an eyedropper.  The pattern formed by
the milk  dropped on the filter paper is indicative of the level of milk
maturation.  The primary use of the MICAM is to demonstrate to mothers
that their milk is maturing as expected."

My question is - could the MICAM be used to show that lactogenesis is *not*
proceeding as it should?   I am thinking of cases where there appears to be
a delay in milk production, perhaps there has been some extra bleeding, and
we might suspect retained platental fragments.  I find that the OBs so
easily become offended, and hotly deny this possibility - could the MICAM be
used as a diagnostic tool in these circumstances?

Pamela Morrison IBCLC, Zimbabwe
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