Initiation and Coming to Volume in the Breast Pump Dependent Mother - Dr. Paula Meier

Recorded Webinar

  • Description
  • Credit Hours
  • Outline



The initiation of lactation, or secretory activation is a time critical event characterized by marked hormonal, anatomical and milk composition changes.  Coming to volume, the period between secretory activation and the establishment of a threshold milk volume, is regulated by completely different lactation processes than for initiation of lactation.  Breast pump dependent mothers who must complete these critical lactation phases in the absence of a healthy breastfeeding infant require evidence-based strategies that program the mammary gland and protect milk volume until the infant is able to remove milk effectively and efficiently.

1 Hour 0 Minutes
Course ID

Credit Hours

  • Nursing - 1.0 Contact Hour




  • Contrast initiation, coming to volume and the maintenance of established lactation with respect to the physiologic processes that control milk synthesis and removal.
  • Review terminology of minimally, partially and completely breast pump dependent with respect to regulation of lactation processes.
  • Differentiate barriers during the early critical periods of initiation and coming to volume for breast pump dependent mothers versus minimally breast pump dependent mothers.
  • Describe best clinical practices for the initiation and coming to volume phases in breast pump dependent mothers.

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