Diane writes: "But if it's a medicated delivery *and* the baby doesn't latch
during that first hour (and seems unlikely to), we've just been handed two
strong pieces of evidence that problems are likely.  I'd say go get that
early bolus of colostrum while it's there to be gotten, and thus maybe stave
off the use of formula later in the day..."  

 

In my experience, and I've worked in a hospital setting for 25 years,
(although just 8 being an LC) that bolus of colostrum does not "disappear"
after a certain amount of time.  I have had moms unable to pump until 12-24
hours after birth and still get that bolus when they finally pump.  Do some
of you have evidence that it gets "reabsorbed" or something after a certain
amount of time?

Also, I don't totally agree that we can assume that there is going to be a
problem with the baby latching if he doesn't latch in that first hour, even
if it is a medicated birth.  Yes, there probably is a higher chance that
there could be some difficulties, but in the majority of cases that I see
(and we have 4200+ deliveries a year), the problems are worked through by 24
hours.  I give moms and (full-term) babies 24 hours before introducing that
pump.

 

Melinda Lueck, RN, BSN, IBCLC

The Toledo Hospital

Toledo, Ohio 

 


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