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Journal of Human Lactation, Vol. 15, No. 3, 209-216 (1999)
DOI: 10.1177/089033449901500310

Effects of Pumping Style on Milk Production in Mothers of Non-Nursing Preterm Infants

Pamela D. Hill, PhD, RN

University of Illinois at Chicago, Quad Cities Program, 555 6th St., Suite 500, Moline, IL 61265 USA.

Jean C. Aldag, PhD, RN

The University of Illinois at Chicago College of Medicine at Peoria.

Robert T. Chatterton, PhD

North-western University.

Milk production was examined in 39 lactating mothers of non-nursing preterm infants from 2 tertiary care centers. The purposes of this study were (1) to compare milk production of those using sequential single (SEQ) or simultaneous double (SIM) breast-pumping regimen, and (2) to examine the relationship of selected variables to inadequate (<3500 g/week) and adequate (>3500 g/week) milk production. In multivariate analysis, mothers using SIM produced a similar amount of milk by weight during weeks 2 to 5 postpartum compared to those using SEQ. A logistic regression model including frequency of kangaroo care, frequency of pumping, high versus low income, and previous breastfeeding experience was predictive of mothers producing adequate versus inadequate milk volume 79% of the time. All of the mothers producing >3500 g at week 2 produced adequate amounts of milk at weeks 4 and 5. None of the mothers producing < 1700 g at week 2 reached adequate production by weeks 4 and 5. Of the remaining mothers who produced 1700 g to 3500 g at week 2, 54% achieved adequate production during weeks 4 and 5 postpartum.

Key Words: lactation • milk production • preterm infants • premature


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