The Academy of Breastfeeding Medicine has a Protocol for Hypoglycemia
treatment. Do a Google for Academy of Breastfeeding Medicine.
I think that professionals would do well to learn more about basic
breastfeeding, helping mothers perfect the latch and feed effectively,
rather than jumping to the heel stick, etc. A more worthy use of time,
for mother and baby and nurse. I think if more nurses could just get a
grip on basic breastfeeding latch issues, this would be a huge
improvement in hospital care.
I like to refer moms and professionals alike to Jack Newman MD and
Teresa Pitman RN IBCLC's book, The Ultimate Breastfeeding Book of
answers. The latch information is excellent.
Amounts of colostrum on day one are about 37 cc, acc to one reference I
read. It is important for babies to get that via excellent latch.
Starting at the beginning....
Kathleen
Kathleen Bruce RN IBCLC
Independent consultant: Breastfeeding Clinic of Vermont, Lactation
Resources of Vermont, Medela, Inc.
Listowner Lactnet listserv
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-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Angela Howell
Sent: Monday, October 11, 2004 12:59 PM
To: [log in to unmask]
Subject: Appropriate length of early feeds
After scouring the archives of LACTNET, I am having dificulty finding
information about the appropriate length of early (Day 1) feeds to
counter my peers who believe a "true feed" must be at least ten minutes
on each breast. My institution is also in the process of creating
breastfeeding policies (as currently there are NONE), and I would like
to provide research which will guide us away from routine blood sugar
checks on a baby who has a "perceived" breastfeeding problem. Can
anyone direct me to research which supports demand feeding but also
addresses appropriate length of feed (ie.. quality of feed vs. length of
feed)? When confronted with the "consensus" at my institution, I would
like to be able to back my position with evidence-based information as I
have tired of performing blood sugars on babies who are asymptomatic but
have not satisfied those around me that their feedings have been
sufficient. Case example: Newborn at 0930, uncoordinated suck for about
2 hours, mom pumps colostrum x 5 minutes, baby to breast with bait of
colostrum and suckles 10 minutes vigorously on one breast. Br attempts
2 and 3 hours after 1st feed unsuccessful. At 4 hours after 1st feed,
baby suckles 5 minutes. At 6 hours after first feed, baby suckles
another 5 minutes. Because of lack of supporting breastfeeding
protocol, blood sugar was checked on asymptomatic baby (big shock it was
65). Then baby has second longer feed of 10 minutes again about 8 hours
after first. Any guidance will be greatly appreciated. Angie, RN, CLE,
Breastfeeding Advocate
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