Dear Lactnet Friends:

I got this case study from someone here on Lactnet, years ago. I'll share
it with you again...I forgot when it was originally posted:

•Baby born at 35 weeks, weighing 4#14oz.

–Spontaneous ROM labor and delivery.

• Baby skin to skin continuously.  No temp decline.  Mom taught
self-latching in reclined position.

 Baby latches but falls asleep quickly.

•Mom taught to hand-express colostrum obtaining approximately 1 cc
increments.  Taught to use syringe

 under baby's tongue with the logic that we use nitro and glucose tabs
directly under the tongue not

swallowed for immediate access to bloodstream.

–Mom instructed to deliver every 2 hours hand-expressed colostrum under the
tongue and nurse as needed.
•
•At 48 hours, no blood sugars below 60,bili of 8, 5% weight loss.  Mom
started pumping next day after

delivery.

•At discharge (Day 3), mom's milk in, baby's weight back to birth weight,
bili of 10, glucose WNR,

breastfeeding.

•Mom sent home with 1) syringe and tube for supplementing at breast if
needed,

  and 2) a follow-up outpatient appointment.
•
•3 other babies born same day, similar circumstances all gone to NICU for
IVs

warmly,

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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