Hi all,

I have a question for all of you wise ones who work with full term
newborns.  Do you hold feedings if a baby is below a certain temperature?
And if so what is that temperature?  In our community, we generally do not
feed a full term healthy infant if his temperature is below 36. Some hold
feeds for temperatures below 36.5.  I am not even sure there is evidence
for this.  Certainly there is risk of NEC for preterm infants if you feed
when cold.  But what about the term infant?  And what about type of
feeding?  My theory is that colostrum would be much better tolerated for a
cold stressed baby than formula.  If skin to skin is the best for warming
up an infant and the food is right there... I mean jeez, it just makes
sense.  But our neonatologists make up the guidelines and I think they are
basing there decisions on the premature infant or perhaps the septic infant.
Please let me know what your institutions do and if you have any evidence
to the practice.

Polly Westra IBCLC
in Sunny, warm South Fl but where babies are born in air conditioned
hospitals

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