HI-
A neonatologist shared this systematic review with me last week:

Renfrew MJ, Lang S, Woolridge MW.   Early versus delayed initiation of
breastfeeding (Cochrane         Review). In: The Cochrane Library, Issue 2,
2001. Oxford: Update   Software.  (If you email me      privately, I will
forward the review to you)

His interpretation of this review is that early initiation of breastfeeding
does not impact breastfeeding durations--therefore our efforts to improve
breastfeeding durations do not have to be focused on insuring  babies
breastfeeding soon after birth.  He concedes that mothers and babies should
be kept together, (family centered care, etc), that late initiation may
result in delay to effective latch, later passage of meconium leading to
hyperbilirubinemia, increased breast engorgement, etc. but did not agree
that there was data to support that any of these outcomes leads to shorter
breastfeeding durations.

I am looking for well-done research to substantiate that not breastfeeding
within an hour of birth is associated with shorter bf durations.  If you
have any, I need them by Monday, July 23rd.
Thanks for the help.

Jeannette Crenshaw, BSN, RN, FACCE, IBCLC
email: [log in to unmask]






Jeannette Crenshaw, BSN, RN, FACCE, IBCLC

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