I have to say... My response was that the obvious best source was unavailable, and these were the only two options :o) A cold baby is a hypoglycemic baby. The initial situation should have been prevented by getting baby onto mom's skin, keeping baby warm, and preventing the hypoglycemic state in the first place. Best always, Sam << Just a case study of 1. Baby born at 35 weeks 4 days ago, weighing 4#14oz. Spontaneous ROM labor and delivery. Mom able to hand-express colostrum. Baby skin to skin continuous. No temp decline. Mom taught self-latching in reclined position. Baby latches but falls asleep quickly. Mom taught to hand-express colsotrum obtaining approximately 1 cc increments. Taught to 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. Moms 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 syringe and tube for makeshift sns if needed, follow-up outpatient appointment. 3 other babies born same day, similar circumstances all gone to NICU for IV's etc. This is only a case of 1, but the docs are pretty impressed and so are the nurses. You think we can get a paradigm shift here? -----Original Message----->> *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome