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Subject:
Imropoving Practice Late Preterm Infants
From:
"Kerry N Zenich, RN, BC Peds, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 3 Mar 2012 13:13:06 -0500
Content-Type:
text/plain
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THIS WAS POSTED ABOUT ONE WEEK AGO...I HAVE NOT SEEN A RESPONSE, AND WE ARE IN THE SAME SITUATION..ANY IDEAS??
 We are looking to improve practice as it relates to breastfeeding and the late preterm infant in the first 24-48 hours.  Our goal is to develop a standard of care for these infants not admitted to the NICU.  I have done an extensive literature search but have not found clear information as to when we should intervene in the first day or two.   At what point in the first 24 hours do I need to supplement(EBM/Formula) if baby is asymptomatic, not latching or effectively feeding?  Do we make that decision in the first hour or 2 of life or do we wait and watch?  Any guidance and/or protocols you can share would be greatly appreciated.

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