On 3/15/11 a class at WakeMed, the Core Class on Breastfeeding the Preemie, was opened to the state. 41 participants from 8 different hospitals attended. Largely a class in which RN's and LC's teach, the class is meant to be full of useful information, and it is delivered with a lot of class participation and hands-on sessions. We had hoped that the outside hospitals could see the curriculum and adapt the information given to their own needs. It was an enthusiastic group, and if evaluations are an indication, the information was considered useful and well-delivered. Among the things that were shared was a small laminated card that can be added to the name badge holder. I have been asked to share this with the PQCNC group:
(The front of the card):
Pumping Facts to Promote Full Milk Supply
� Pump within the first 6 hours after birth
� Pump minimum of 7 times each day and once at night for the first 14 days
� Sleep for 5 hr intervals and pump once during the night
� Obtain 140 ml/day by day 4 (15-20 ml x 8 pumpings) to assure full milk supply
� Receptor sites are laid down during the first 14 days of pumping will not be added after that time
Full milk supply
� Ideal >750 ml/24 hr (~3 ounces x8)
� Borderline 350-500 ml/24 hrs (~2 ounces x8)
� Low >350 ml/24 hours (~1&1/2 ounces x 8)
(The back of the card):
References:
� Hill P and Aldag J. Milk volume on day 4 and income predictive of lactation adequacy at 6 weeks of mothers of nonnursing preterm infants. J Perinat Neonat Nursing 2005: 19 (3):273-82.
� Hurst, NM and Meier, PP. Breastfeeding the Preterm Infant, in J Riordan (Ed.) Breastfeeding and Human Lactation, 3rd ed, Boston MA: Jones and Bartlett (2003), p. 376.
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