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Lactation
www.texaschildrenshospital.org
Statıon
Texas Children’s Hospital Lactation Support Program
™
Winter 2003
Lactation program
‘graduate’ thriving
When my son, Clark, was 11 months old.
born at 27 weeks, he weighed The day after
only 2 pounds, 4 ounces. The Clark’s birth, I
first time I was able to hold consulted with a
him he was 2 weeks old, and lactation nurse from
it was a feat to arrange all the Texas Children’s
tubes and wires. Still, holding Milk Bank. With
his tiny warm body against the information I
my full breasts gave me received from her
indescribable joy. and a rented
I had looked forward to hospital-grade
breastfeeding Clark, but breast pump, I
because he was so tiny he began a breast-
did not have the strength feeding experience
or development to suck. different than any I
But with the help of Texas had ever imagined
Children’s Lactation Support – one that perhaps
Program and the milk bank, fulfilled me even
I was able to pump and give more than
him breast milk until he was See Graduate on Page 2.
Clark and Angela Hudson
The color of milk: variances in breast
milk color bewilder lactating moms
Mothers who express their pump, the varying color of The first secretion of the
milk for their hospitalized their milk often raises breast is colostrum, a fluid
babies often ask, “Is this the questions about the quality high in protein and rich in
color my milk is supposed of the breast milk. The only antibodies and other protec-
to be?” comparison they can make tive cells. Colostrum is usually
For the mother of a full- is to the color of pasteurized a thick, sticky fluid that is
term healthy infant, this whole cow’s milk or light to bright yellow in color.
question rarely occurs because commercial infant formula. It is speculated that the color
she doesn’t actually see her Since these milks are white and consistency of this fluid is
milk unless a little milk in color, milk of another color likely due to the abundance of
drips down the baby’s chin may seem out of the ordinary. these larger cells (proteins and
after a feeding. But mother’s milk is anything antibodies) in the milk.
However for mothers who but ordinary. See Color of milk on Page 3.
www.texaschildrenshospital.org/lactationstation 1
n
™
Internet offers a wealth
of lactation information
American Association for organization that provides
Premature Infants (A.A.P .I.), founded reliable information, support
in 1992, is an organization dedicated services and resources to families
to improving the quality of health, of children with congenital heart
developmental and educational defects and acquired heart
services for premature infants, children disease. www.tchin.org
and their families. www.aapi-online.org The Premature Baby- encouragement, mainly through
The Preemie Place is an on-line Premature Child is a volunteer mother-to-mother support, to all
resource providing answers to website that provides parents with mothers who want to breastfeed their
questions, or information for a specific information they need to care for babies.www.lalecheleague.org
topic regarding prematurity. their premature infants. On the Parents Place Web site exists
www.thepreemieplace.org www.prematurity.org
a unique discussion board for mothers
Parents of Premature Babies Inc. National Organization of Mothers
(Preemie-L) is a website offering of Twins Clubs, Inc. (NOMOTC), who are exclusively pumping their
support to families of premature founded in 1960, provides support, breast milk for their infants.
infants while the babies are education and information for mothers You can get there by typing in
hospitalized and following discharge. of twins. www.nomotc.org www.parentsplace.com/messageboards
www.preemie-l.org The La Leche League and scrolling down to exclusively
Congenital Heart Information International, founded in the pumping under the breastfeeding
Network (C.H.I.N.) is an international mid-1950’s, provides information and subtitle.
Graduate cont’d. from page 1
traditional breastfeeding. really soared. He became an aggressive Because we had dutifully frozen all
My gratification for breast pumping “feeder and grower” and was finally extra breast milk I produced during
came every time I topped off a bottle... able to make eye contact with us. those nine months, there was enough
every time Clark surpassed another Finally, at eight weeks old, Clark came
for Clark to remain on breast milk until
milestone without infection. home, and the NICU gradually became
In the midst of all the advanced, a distant memory. he was 11 months old.
state-of-the-art medical care Clark When Clark was discharged, we Clark was incredibly healthy his first
received, producing breast milk took more than 400 bottles of my year. During this time, he had only one
specifically formulated for his needs breast milk from the milk bank’s cold and a minor ear infection. He
was something only I could do. I took freezer to add to our freezer full at now is on track developmentally, and
my job very seriously – and the milk home. I was not ever able to feed
bank did too. Clark directly from my breasts, but at 31.5 inches and 23 pounds, he loves
When Clark was moved to the Level I continued to pump until he was to mimic the ABC song, do the bunny
II nursery in his seventh week, he nearly 9 months old. hop and be chased around the house!
About the Lactation Support Program
Texas Children’s Lactation Support hospital visits. and collection bottles.
Program and Milk Bank provide a Through the milk bank, mothers rent The Lactation Station newsletter is
variety of services for breastfeeding breast pumps, purchase breastfeeding produced quarterly by Texas Children’s
mothers and their infants. The supplies and receive lactation Lactation Support Program. For more
program’s registered nurses, who information. The milk bank is information about Texas Children’s
specialize in lactation counseling and surrounded by private rooms in which Lactation Support Program or the
clinical breastfeeding management, mothers can come – 24 hours a day – Lactation Station newsletter, call
are available for clinic, home or to use hospital-provided breast pumps (832) 824-6120.
2 www.texaschildrenshospital.org/lactationstation
Texas Children’s Moms’ milk donations to milk
Hospital mothers’
donated milk contri- bank benefit babies’ health
butions in the last six
Texas Children’s would like their
months: Hospital Lactation milk (and hard
3,770 ounces or Support Program is work!) to help other
111,492 milliliters pleased to be a liaison for sick babies.
471.25 cups our mothers with the Texas Children’s
235.62 pints Mother’s Milk Bank at Hospital lactation
117.81 quarts Austin (MMBA). consultants and
In the last six months, milk bank tech-
111.49 liters 3,770 ounces of milk nicians identify
29.45 gallons have been donated to possible donors
Austin from Texas based on mothers’
Thanks to all our Children’s Hospital milk volume and
generous moms for mothers. infants’ medical
their donations. Many Some of the donating conditions. Once
moms have oversupply identified, mothers
babies are healthier issues or babies who are are approached
for their efforts. not yet eating. Others are with relevant infor-
bereaved mothers who See Donations on Page 4.
Color of milk cont’d. from page 1
However, just as breast size varies change in the color of the milk to a evaluation. Milk that is green, orange,
from woman to woman, there can be more watery, white color. Some or even violet usually is related to
a variety of colors of colostrum. Some mothers notice a slightly blue tint to medicine or foods taken by the
mothers have expressed colostrum or their milk at this time. This is due to breastfeeding mother. Iron
early milk that is brown or rusty in the high percent of whey protein in supplements (green); carrots, squash,
color. Also known as “the rusty pipe breastmilk. Whey is a high quality sweet potatoes (orange); and beets
syndrome,” it is thought that this is protein that includes many of the cells (violet) are often associated with
due to slight oozing of blood from the responsible for protecting the breast- colored milks.
swelling of the breast tissue as the fed infant from infection. On the other Finally, although some colors may
breasts become heavier and engorged. hand, commercial infant formula has alert you to a particular problem or
This is more commonly seen in much lower levels of whey protein – condition, one thing is certain – the
first-time mothers and is not harmful owing to the whiter color. quality of your milk is pure gold!
to the baby. As breastfeeding continues, milk
As milk production increases during may change colors periodically
the first days after delivery the change depending on many circumstances.
from colostrum to transitional milk Milk that has a pink tint may be due to
occurs – and with this change so does cracked and/or bleeding nipples.
the color and consistency of the milk. However sometimes there are no
The reason for this change is a closing visible cracks or soreness and a small
of the gaps between the milk cells deep amount of blood appears in the milk.
within the breast. When this happens, This may be caused from the breast
the larger cells have a more difficult pump’s suction gauge being set too
time moving from the mother’s blood high.
to her milk. If bleeding continues once the
As a result the protein and antibody nipples have healed and/or the pump
content decreases and the fat content is adjusted, notify your lactation
in the milk increases. This results in a consultant or doctor for further
www.texaschildrenshospital.org/lactationstation 3
Donations cont’d from page 3
mation from the MMBA. An to Texas Children’s Hospital available in the Texas
initial screening is done by and Woman’s Hospital of Children’s Hospital Milk
telephone interview and Texas, to pick up milk for Bank with additional
www.texaschildrenshospital.org then a small blood sample transport to Austin. information on the milk-
is drawn and stored, along To qualify as a donor,
Texas Children’s with the expressed milk, in a mother must have at least donation process. The milk
Hospital Lactation the milk bank freezers. 100 ounces of medication- bank lactation consultants
Support Program About once a month volun- free milk available to also are happy to answer
6621 Fannin teers from the MMBA come donate. Pamphlets are questions.
Mail code CCC 1010.00
Houston, TX 77030
Phone: (832) 824-6120
Fax: (832) 825-3633
Lactation Support Shared experiences help moms cope
Program Staff
Manager
Nancy Hurst, The Texas Children’s The Lactation Support The staff will offer
RN, MSN, IBCLC Hospital lactation Program staff is compiling new mothers this
Lactation Consultants consultants are invaluable a list of the names and valuable resource for
Anne Myatt, for breastfeeding infor- phone numbers of former helpful tips and words
RN, BSN, IBCLC mation, instruction and lactating moms along with of encouragement.
Bonnie Bartman, If you would be willing
RN, MN, IBCLC support. But being able to special information (for
to offer your support
Kathy Pennington talk to another mom who example, mothers of to these mothers, contact
RN has had a similar multiples, infants with the Texas Children’s
Medical Director experience can provide heart defects, mothers Lactation Support
William Klish, MD that little something extra with infants born prior to Program Staff at,
Milk Bank Technicians lactating moms need. 30 weeks gestation, etc.). (832) 824-6120.
Angela Perry
Adriana Lopez
Nadia Mora
Maria Pineda
MaryKutty John
Mimi Hernandez
4 www.texaschildrenshospital.org/lactationstation
Houston, TX 77030
6621 Fannin, MC 3-3391
www.texaschildrenshospital.org/lactationstation
Statıon ™
Lactation
