The relative efficacy of four methods of human milk expression

Department of Pediatrics, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana, United States
Early Human Development (Impact Factor: 1.79). 05/1982; 6(2):153-9. DOI: 10.1016/0378-3782(82)90102-5
Source: PubMed


In view of the current trend toward increased breast-feeding, both of normal term infants as well as sick or premature infants, a successful means for milk expression in order to establish and maintain lactation is of major importance to the mother. The present study was designed to evaluate four methods of milk expression, measuring the amount as well s the fat content of milk expressed by each method during a 10-min period. The four methods included the Egnell electric pump, the Loyd B pump, the Evenflo system, and manual expression. The electric pump enabled mothers to express significantly more milk with adequate fat content during the expression period than any of the other methods tested. No significant differences were found between the other three methods. The Egnell or similar electric pump may be a preferred method for milk expression for some mothers, particularly those anticipating a prolonged need for pumping.

5 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: By understanding how a breast pump works, the nurse can suggest a pump best suited to meet the needs of the mother and her infant. When the infant is well, issues of cost and convenience can be the priority; when the infant is ill, primary considerations are how negative pressure is created, maintained, and released and how pathogens are controlled. Understanding these mechanisms helps solve technical problems that contribute to malfunction or maternal discomfort.
    Journal of Obstetric Gynecologic & Neonatal Nursing 28(4):417-26. · 1.02 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to identify if special breast cleansing before breast pumping would have an affect on lowering bacterial colony counts of cultured breast milk. Sixty-five women whose infants were being cared for in a NICU and who wished to pump their breasts for future breast milk feedings were randomly assigned to one of two groups: members of a control group were instructed to wash their hands thoroughly before breast pumping, and members of an experimental group were instructed to wash their hands thoroughly and were given special instructions on breast cleansing. All other breast pumping and milk collection instructions for both groups remained the same. A student's t-test revealed a significant difference between the two groups; women who performed special breast cleansing before breast pumping had significantly lower bacterial colony counts in their cultured breast milks.
    Journal of Obstetric Gynecologic & Neonatal Nursing 05/1989; 18(3):231-6. DOI:10.1111/j.1552-6909.1989.tb00484.x · 1.02 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Breastfeeding and employment are often viewed as mutually exclusive activities. However, women who choose to breastfeed are more likely than other mothers to return to paid employment outside the home, and many of these mothers want to continue breastfeeding. The midwife is in a unique position to assist these mothers as they make plans for infant feeding during their pregnancy, while they are learning how to breastfeed, and after they have returned to the labor force. This paper presents relevant research findings and specific guidelines designed to assist the midwife in counseling mothers who are planning to breastfeed while employed outside the home. The author suggests that establishing lactation before the return to employment is a key to enabling breastfeeding to continue as long as the mother wishes. The importance of expressing milk during periods of separation is discussed. Key questions to ask when recommending breast pumps are identified.
    Journal of Nurse-Midwifery 01/1990; 35(1):26-34. DOI:10.1016/0091-2182(90)90054-9
Show more