Re: Anyone have info here?

[Guest guest]

Dear Colleagues:

By restricted versus unrestricted, I assume that Nicola means scheduled versus on cue.

I don't know of any studies on this topic. However, when I did a google scholar search for 'restricted versus unrestricted breastfeeding' 412 hits emerged and some of the titles look relevant and interesting.

I know that in the States, the strict scheduling of Ezzo-type philosophies resulted in several babies with failure to thrive. I know there is a study that showed that putting infants in bed partially sleeping didn't interfere with weight gain or breastfeeding if it was

started after 4 months.

No time to check all this out; I hope it helps you Nicola.

warmly,

Nikki Lee RN, MS, Mother of 2, IBCLC, CCE,CIMIAdjunct Faculty, Union Institute and University, Lactation ProgramFilm Reviews Editor, Journal of Human Lactationwww.breastfeedingalwaysbest.com

[Guest guest]

butwhere did they get the evidence back in the 1950's to change thepractice from timed feeds to unrestricted?

Nicola, I'm not sure there was a change in the 1950's -- the feeds were very restricted all the way through the 60's and at least into the 70's. I'm trying to remember what was going on in 1974 when my daughter was born....

In any case, to my knowledge, the reason for restricted feeds was to prevent sore nipples. The first article I remember was by Kittie Frantz and Carole L'Esperance who talked about positioning being the issue in sore nipples, not the length of the feeds. As far as I remember, that came out in the early 80's.

Do you have an article from the 50's talking about this? And please keep in mind that the whole concern about "evidence based practice" didn't surface until the 90's.

JanLactation Education Consultants My Mother of the Bride Blog Torrey's Blog

[Guest guest]

By restricted versus unrestricted, I assume that Nicola means scheduled versus on cue.

Oh Nikki, that's funny -- I read it as timed feeds, not scheduled vs on cue.

But I think scheduled was still rampant through the 60's as well. We really didn't even talk about on cue until later than that. We brought babies out in the hospital every four hours in the early 70's, but I think the demand feed didn't really get started until the "natural childbirth" push of the mid 70's and on (including feeding in the delivery room -- Lord help us!! -- which started probably around '74 or '75.)

JanLactation Education Consultants My Mother of the Bride Blog Torrey's Blog

[Guest guest]

These are the references we used in our book " Making

More Milk: A Nursing Mother's Guide to Milk Supply. "

Howie, P., Houston M., Cook, A., et al. How long should a breast feed

last? Early Hum Dev 1981 Feb; 5(1):71-7.

Woolridge, M., Baum, J., Drewett, R. Individual patterns of milk

intake during breast-feeding. Early Hum Dev 1982 Dec 6;

7(3):265-72.

de Carvalho, M., on, S., Merkatz, R., et al. Milk intake and

frequency of feeding in breast fed infants. Early Hum Dev 1982

Nov; 7(2):155-63.

Dewey, K. and Lonnerdal, B. Infant self-regulation of breastmilk intake.

Acta Pediatr Scan 1986; 75:893-98.

Dewey, K., Heinig, J., Nommsen, L., et al. Maternal versus infant factors

related to breast milk and residual milk volume: The DARLING study.

Pediatrics 1991; 87:829-37.

Daly, S., Owens, R., Hartmann, P. The short-term synthesis and

infant regulated removal of milk in lactating women. Exp Physiol

1993 Mar; 78(2):209-20.

Cregan, M., Mitoulas, L., Hartmann, P. Milk prolactin, feed volume and

duration between feeds in women breastfeeding their full-term infants

over a 24 h period. Exp Physiol 2002; 87(2):207-14.

[Guest guest]

These are the references we used in our book " Making More Milk: A

Nursing Mother's Guide to Milk Supply. "

Howie, P., Houston M., Cook, A., et al. How long should a breast

feed last? Early Hum Dev 1981 Feb; 5(1):71-7.

Woolridge, M., Baum, J., Drewett, R. Individual patterns of milk

intake during breast-feeding. Early Hum Dev 1982 Dec 6; 7(3):265-

72.

de Carvalho, M., on, S., Merkatz, R., et al. Milk intake and

frequency of feeding in breast fed infants. Early Hum Dev 1982 Nov; 7

(2):155-63.

Dewey, K. and Lonnerdal, B. Infant self-regulation of breastmilk

intake. Acta Pediatr Scan 1986; 75:893-98.

Dewey, K., Heinig, J., Nommsen, L., et al. Maternal versus infant

factors related to breast milk and residual milk volume: The DARLING

study. Pediatrics 1991; 87:829-37.

Daly, S., Owens, R., Hartmann, P. The short-term synthesis and

infant regulated removal of milk in lactating women. Exp Physiol

1993 Mar; 78(2):209-20.

Cregan, M., Mitoulas, L., Hartmann, P. Milk prolactin, feed volume

and duration between feeds in women breastfeeding their full-term

infants over a 24 h period. Exp Physiol 2002; 87(2):207-14.

[Guest guest]

where did they get the

evidence back in the 1950's to change the

practice from timed feeds to unrestricted?

Change! They’re still telling moms here that……

Dawn

in Austin

[Guest guest]

There WAS a study. I'll see if I can dig it out.

Might take me a while.

At 08:29 PM 11/20/2006, you wrote:

where did they get the evidence back in the

1950's to change the

practice from timed feeds to unrestricted?

[Guest guest]

If anyone has the Howie article, it would be in there since

it was that study that it was seeking to refute. I think I do have

a copy, but it is in boxes in my attic at the moment.

Howie, P., Houston M., Cook, A., et al. How long should a breast feed

last? Early Hum Dev 1981 Feb; 5(1):71-7.