>I have the mother's permission to post.  I was contacted by a mother 
>who is pregnant with a 26 week baby and her membranes have been 
>ruptured since 19 weeks.  There has been some amnotic fluid around 
>the baby's face on noted on ultasound, but there is great concern 
>that the baby's lungs may be underdeveloped.  Mom wants to do 
>anything she can to help the baby survive and would like to provide 
>breastmilk for the baby.  Mom has eczema of the nipples.  She has 
>two older that she tried to breastfeed and stopped because of 
>bleeding and pain.


I don't understand about the concerns for this baby - any baby born 
as early as this would have underdevloped lungs  and all babies have 
amniotic fluid on their face:)

>  Hand expression.  I have never had anyone develop a full milk 
>supply by hand expression.


Hand expression can be highly effective - no reason for it to be less 
effective than a pump, if the right techniques are used and the 
expressing is taking place often enough.

Hope this mum and baby have a good experience.

Heather Welford Neil
NCT bfc,  tutor, UK

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