Lucy has described a scenario that begs the question of informed consent and poor understanding of the relationship between pain management and breastfeeding. If a penile block was given to the baby then why is he crying from pain? Could he be crying because he is separated from his mother, restrained, and being handled roughly? It is well known and reported in the literature that sucking at the breast modifies pain significantly. The baby should have been placed at breast to reduce the crying and allow pressure on the bleeding circ. He could also be given tylenol for pain. Shoving a bottle of D5 into the baby's mouth without permission of the mother is battery. The combination of fasting (which I bet happened before the circ) and hard crying drops blood sugar levels. Blasting with D5 is known to bounce the blood sugar levels around. Did anyone check blood sugar levels sometime after being given the D5? At this point, the mother with limited English was not consulted, nurses did not follow unit policy, the baby refused to breastfeed, and the mother has had information withheld from her. An incident report should be filed. If the baby is unable to complete 2 successful feeds at breast prior to discharge, then community standards for discharging breastfed infants has not been met. Perhaps an inservice should be scheduled with a protocol for this scenario created as a result. Nurses should be required to read the published articles on the relationship between pain relief and breastfeeding. A physician's order should be required before any sugar or artificial nipple is given to a breastfed infant. The risk management department should be informed of this and asked if they could foresee a lawsuit for battery, infant health risk from not being breastfed, and nurses who do not follow unit policy. Marsha Walker, RN, IBCLC Weston, MA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html