Since I wrote the original post on this subject, I think I should do
some clarifying.  I can see how the phrase "mom who is unable to
breastfeed" could be seen as both the healthy term baby who is not
latching, waking etc., as well as the sick newborn.  In this particular
case, I was referring to a situation where the infant goes to the NICU
immediately after birth, and the mom is unable to breastfeed for an
extended period of time.  I made reference to the article done by Hill
et al." Initiation and frequency of breast expression in breastfeeding
mothers of LBW and VLBW infants." 1995, which was derived from 2
investigations: the relationship between early initiation and frequency
of breast stimulation to feeding pattern at 8 weeks postpartum in
mothers of LBW infants, and how selected physical, psychological, and
managment variables affect milk volume in mothers of VLBW infants.  In
this article Hill et al. state that "pumping should be delayed no longer
than 6 hours after birth unless medically contraindicated."  There is no
reference in the article for this statement, and I can't find one
anywhere else.

I'm sorry for the confusion, but I have to say, I think my lack of
clarity certainly stimulated an interesting discussion on the use of
breast pumping for the mother of the term, healthy infant who is not
feeding well in the first 24-48 hours.  However my question still
stands: does anyone know where this 6 hour rule came from?

Once again, thanks for your help.
Mary M. Lussier BSN IBCLC
Hartford, CT.

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