Jean Ridler writes:

<This thread has taken a couple of interesting turns.  When to intervene
when
a healthy newborn is not nursing?
One study that I found interesting by Yamauchi and Yamanouchi (1990)
showed that healthy, full-term breastfeeding babies  fed:
    4.3 times in the first 24 hours (range 0 - 11)
    7.4 times in the next 24 hours (range 1 - 22)

(Sorry, I can't find the full reference at the moment - the above I got
from
an OH transparency I made a while back.)

Riodan and Auerbach (p283-284) refers to the first day sleep patterns of
neonates born in hospital and this seem to correlate well with the above
study.

Especially if the baby has fed at least once, preferably in the hour
or so after birth, I don't see any reason to panic until the second day.>


In retrospect, maybe some things weren't as bad after all back in the
1940's and '50's - the baby boom days of babies being NPO for 12 hours,
given 5% GW every four hours for the second 12 hours to stimulate passage
of meconium, and then started at breast (or on formula if not
breastfeeding) at 24 hours.

Although I was not one of them with my first 3 children, there were some
women who made a go of breastfeeding, despite twilight sleep, general
anesthetics and 3-5 minute feedings on one side every four hours, moving
up to 10 minutes every four hours by day 4! But the large number of baby
boomers still around indicates that delayed feeding may not have been
quite so harmful as the swinging pendulum of clinical practice might lead
us to believe!

Jean
*******************************************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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