Pam, I can understand your discouragement if having a baby born at 30 weeks
is insufficient grounds for having optimal pump equipment.
How much do the kits cost?  Is it possible for mothers to purchase their
own?  Where I live they cost about $15 and can be reused for ages.  I
imagine they are cheaper almost anywhere else in the world as 'medical'
supplies here seem to have a markup of at least 500%.
That might alleviate the acute problem.
On to the bigger picture: what is treatment of NEC costing your unit?  Do
you see much of it?  I have never seen a case myself but I believe we have
had one or two in the 15 years I have worked at our hospital (I don't work
NICU, but have contact with the unit because we have the mothers on our
ward).  Is it possible with DRGs that it benefits a hospital financially to
have more, not less, cases of NEC?

How about a publicity campaign: new policy at XX hospital favors increased
death risk in NICU?  Because that is what this policy is doing, and patients
need to be protected from the short-sighted person responsible for it.

Rachel Myr
all steamed up in Kristiansand, Norway

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