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Date: | Mon, 3 Nov 2008 10:13:57 -0800 |
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Ideally infants will first be supplemented with expressed breastmilk.
But if this is not available or minimally available during the first 3
days of life then judicious glucose supplements are preferred. If
they can be mixed with some colostrum (even a few drops) even better.
The reasons they are preferred are:
1. Allergic proteins are not introduced thus allergic reactions,
diabetes, asthma risks are lowered.
2. Glucose doesn't stay in the stomach long so, it minimizes the
disruption of nursing frequency
3. During the first few days of life (unless the infant is jaundiced)
hydration is more important than calories and some infants who were
nursing poorly will nurse better after a little sugar water perks them
up.
If possible she should still do some stimulation by hand expression,
pumping or supplementing at the breast.
If the infant is jaundiced or a serious lack of maternal breastmilk is
present then the next best would be banked milk. This might be a
stretch for your hospital but administration must start being taught
that introduction of formula puts them at risk of lawsuit if the
infant develops cow's milk allergy, colitis, asthma, diabetes, etc.
I am sure you can find documentation for all or most of this. Look to
the AAP policy statement and the ABM protocols for starters. Good
luck, Christine Betzold NP CLC MSN
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