caa a22 4500 477067735 CHVBK 20180405111417.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF02823873 doi (NATIONALLICENCE)springer-10.1007/BF02823873 Manual and pump methods of expression of breast milk [Elektronische Daten] [Vinod Paul, Meharban Singh, Ashok Deorari, Jamsine Pacheco, Urmil Taneja] This study was designed to compare two methods of breast milk expression, namely, the manual and the pumping method using a hand-held cylindric pump. The parameters evaluated were (i) the output of breast milk during milk expression sessions of 15 minutes' duration, and, (ii) the subjective preference of the method by the mothers. In the first phase, 22 mothers whose infants were on gavage feeding in the nursery, had 3 sittings each by the two methods on 4th and 5th postnatal days (66 expression). It was seen that the use of breast pump (Medela) was associated with significantly higher volume of breast milk expressed per session (41.57 ± 16.05 ml vs. 21.7 ± 10.5 ml, P < 0.001). In the second phase, 14 mothers had such sessions (42 each) not only on the 4th and 5th postnatal days, but Iso on days 8 and 9. It was again seen that, the volume of breast milk expressed was greater by the pump method than the manual expression (on day 5 and 6 (46.8 ± 26.3 ml vs 31.2 ± 15.5 ml, P < 0.01) as well as on day 8 and 9 (50.40 ± 11.2 ml vs 38.49 ± 13.4 ml, P < 0.01). Subjectively, the pump expression was preferred by the mothers on day 4 & 5, while the manual expression was the preference on days 8 & 9. The use of breast pump is more efficient than the manual system of expression of breast milk among mothers whose infants are not directly breast-fed. It is recommended that in case the mothers prefer to use the manual method, let them express as much milk as possible by this method initially, and then follow it up with a short period of pumping to ensure complete evacuation of breasts. Dr. K C Chaudhuri Foundation, 1996 Breast milk nationallicence Expressed milk nationallicence Breast pump nationallicence Manual expression nationallicence Paul Vinod Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut Singh Meharban Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut Deorari Ashok Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut Pacheco Jamsine Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut Taneja Urmil Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut The Indian Journal of Pediatrics Springer India 63/1(1996-01-01), 87-92 0019-5456 63:1<87 1996 63 12098 https://doi.org/10.1007/BF02823873 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02823873 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Paul Vinod Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut NATIONALLICENCE 700 1- Singh Meharban Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut NATIONALLICENCE 700 1- Deorari Ashok Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut NATIONALLICENCE 700 1- Pacheco Jamsine Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut NATIONALLICENCE 700 1- Taneja Urmil Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, 10 029, New Delhi aut NATIONALLICENCE 773 0- The Indian Journal of Pediatrics Springer India 63/1(1996-01-01), 87-92 0019-5456 63:1<87 1996 63 12098 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer