| Critical First Two Weeks from Polly Sisk, PhD |
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 Recognizing milk expression problems early is critical to helping mothers avoid "running out of milk." We don't always recognize milk expression problems because we (in the NCCC) are focused on the infant and if the infant is getting all mother's milk we tend to think all is well. But this is deceiving. For example, a 700 gram infant who is advancing on enteral feedings may only need 1-2 ounces/day the first week and only 3 ½ ounces when on full enteral feedings. If the mother is only supplying what the infant needs through the first 2 weeks she will almost certainly never produce enough breast milk to feed the infant until hospital discharge. Recognizing milk expression problems is easy if you know what to look for. What should we be asking? To learn more click here
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| Last call for "design" contest |
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 Three teams have forwarded systems to help assure data collection continues for Day 21, Day 28 and at discharge; thank you Jeff Gordon, New Hanover and Forsyth! What prompts have other teams developed to help with data collection after a period of NOT collecting data daily? Email me (metzguer@med.unc.edu) a description of your "system" and if judged "most likely to succeed!" you will earn a prize for your Human Milk Initiative Team. Entries must be received by 5pm on March 9 2011.
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| Resources shared |
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 Phyllis Kombol forwarded these resources with this note: "Each of these is an 'Inside Track,' which is a 1 page parent handout (generally 5th grade reading level or lower) from the Journal of Human Lactation. They are designed to be able to be copied for distribution as long as free given." There are parent handouts regarding kangaroo care, getting started with breastfeeding, and breastfeeding tips.
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| Contact |
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 Karen Metzguer
PQCNC Improvement Advisor
metzguer@med.unc.edu
Work: 919-966-8391
Mobile: 919-619-6332
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