Working in a NICU of a suburban hospital has become very challenging lately.
Supplementation of term newborns receiving formula until their mothers milk is
in is being practiced without really questioning if this needs to be
practiced.  The patient type being referred to is mainly term and on
antibiotics for treatment for possible sepsis. The patient type is otherwise
stable.  When talking to physicians and nurses about this subject the usual
response is that sufficient oral intake is required to keep up kidney
function.  What is considered sufficient?  If the infant is truely nrsg well
with audable swallows would this not be considered sufficient?  Data is needed
to support this arguement.  If anyone could offer any advice it would be
greatly appreciated.      Thanks.   Susan Leston RN, IBCLC