PEDIATRICS Vol. 5 No. 4 April 1950, pp. 726-733
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RELATION OF THE LET-DOWN REFLEX TO THE ABILITY TO BREAST FEED

NILES RUMELY NEWTON M.A. and MICHAEL NEWTON M.D.1

1 Assistant Instructor in Surgery and Harrison Fellow in Surgical Research, University of Pennsylvania Medical School, Philadelphia, Pa.

The existence and function of the let-down reflex was studied in 103 mothers who fed their babies at the breast while in hospital after delivery. Successful breast feeders reported a significantly higher incidence of symptoms of let-down than unsuccessful breast feeders. Successful breast feeders made a significantly higher proportion of their milk available to the baby and the breast pump before let-down was artificially induced with Pitocin. The let-down reflex functioned more erratically in the unsuccessful breast feeders. Methods by which the let-down reflex might be helped to function more adequately are discussed.

Submitted on August 2, 1949


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