Hi Cathy,
I work as an LC in the NICU. Our criteria is extubation and stability. If they are stable enough to be fed, they can go to breast. I have put 28 weekers to breast, and God love 'em, they latch on best as they can and have a good time. It is done as part of their Kangaroo Care. We do have the mother empty their breasts until about 33 weeks and then try with halfish and full breasts as long as they do fine with the flow. Most of them do great with their mother's milk flow. Around 33-34 weeks, we may add the use of a nipple shield if the baby is having trouble sustaining latch.
Maureen Allen RN, BSN, IBCLC
Brigham and Women's Hospital
Boston, MA
-----Original Message-----
From: Cathleen Carnaby <[log in to unmask]>
To: [log in to unmask]
Sent: Mon, 5 Jun 2006 21:34:25 -0400
Subject: Breastfeeding in the NICU
Dear fellow lactnetters
After searching the archives, I was unable to find the exact info I am
looking for.
A couple years ago there were numerous threads about progression of
breastfeeding for the premies. One by Kathy Boggs was extremely helpful.
If you are out there, could you please respond to this email by contacting
me directly?
Are any of your NICUs using breastfeeding protocols or logrithms to advance
oral feedings? What are the criteria for initiation of non-nutritive
breastfeeding(NNBF)? Do your physicians write an order for NNBF? How
frequently do babies NNBF each day? Do any NICUs in the U.S. follow the
recommendations of Dr. Nyqvist, i.e that babies respiratory stablity,
breathing on his own, not size or gestational age are required to commence
breastfeeding? In your unit, what is the earliest gestational age that
babies are put to the breast?
Feedback from LCs in NICUs is greatly appreciated,
Thanks in advance,
Cathy Carnaby, RNC, IBCLC
NICU Children's Hospital
Omaha, Nebraska
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