If I remember correctly, Jack Newman uses glucose as a "colostrum extender". 
So he uses it only in the colostrum phase to slightly increase the volume if 
necessary.

Loraine makes a very interesting point - the assumption that an unsettled 
newborn *must* be hungry!  He is given a large bolus of formula and goes to 
sleep - thus "confirming" the assumption.

Where I work, supplements are most often given during the second night - 
because baby is a "hungry bunny".  If I manage to to do a little 
anticipatory guidance beforehand, mothers often choose to keep their babies 
with them - often snuggled next to them in bed and they have a relatively 
peaceful night.

Despite what seems like daily uphill battles at the hospital - today I am 
smiling.  Two babies self-attached in labour ward.  We have one midwife who 
often tries to facilitate this.  She is so excited today so will hopefully 
be motivated to keep going.

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask]

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