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Re: expression and pregnancy

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I start this during prenatal consults for any Moms who are likely to have to supplement in the hospital, who do not have any risk factors for preterm delivery. I ask them to stop the session when it brings on braxton hicks. They order 5ml oral syringes with caps off amazon before our appointment, we hand express into a spoon, fill syringe daily (in fridge) until full, then transfer to the freezer. I teach them finger feeding. They bring it to the hospital in a cooler. We usually "forget" to tell the staff anything about it.I did this just yesterday with a Mom who had implants with removal and replacement of the areola. Hand expression is a great excuse to assess the plumbing! To my amazement she had 3-5 patent nipple pores per

side and we got 2ml in about 5 minutes! Bethany Certa Sasaki, RN, BSN, IBCLC ©www.bethanysasaki.com

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I really like this hand expression video:

http://ammehjelpen.no/handmelking?id=907

Ellen

Ellen J. Rubin, MA, IBCLC, LLLL

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> Subject: expression and pregnancy

> To: ibclc-pp

> Date: Monday, June 4, 2012, 3:53 PM

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> Hello Ladies,

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>  Wanted to see what your thoughts are on expressing milk while pregnant.

Controversial I know but what are you recommending currently?

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> Liz Brown,IBCLC, RLC, CLC

> Peer Helper

> Columbiana County WIC

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