> Carol Schlef: > I may totally off-base here, but my take on the original
question was when to
> start pumping when a mom is unable to bf--i.e., a baby in the NICU, still on
> a vent, not being able to suckle yet.
>
> At our hospital, our policy is that these moms should be instructed on
> pumping, & ideally started with the pump, within 8 hours of delivery.
>
It is my policy to have moms pump even asap after dilivery (give birth,
controls, wash and clean and bring to ward, then pump) and afterwards as often
as the baby would/should breastfeed *if it's clear <<from start on>> that baby
will not be able to suckle at all in the first days* for whatever reason. This
will not bring her selfesteem down, if it's made clear to mom that in this way
she is doing all she can to help her baby get better/bigger/stronger/whatever.
Her body is not letting her down, she is just doning it in a different way.

Elisheva: > I guess the word is out there that stimulation soon is a big part of
early
> success
Yes, agreed, and since a pump is not nearly as effective as a baby, pumping
should even more start early and go on frequently.

Gonneke van Veldhuizen, IBCLC, Maaseik, Belgium
http://www.users.skynet.be/eurolac
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