Hi all
>When women labour at home, and drink to thirst, do their babies have higher
>output? This is really interesting, and something we need to consider
>when we talk about normal counts.
This topic has been of interest to me for a long time. In my breastfeeding
counselling on a telephone Helpline, increasingly we are getting calls from
mother's who are 24-72 hrs postpartum, due to the early discharge program.
Where I live, mother's are asked prenatally if they would like to go on this
program and if so, leave hospital between 4 - 24 hrs postnatally. They get
home visits from a midwife (not always IBCLC unfortunately) for less than a
week. If not opting for this program, they stay in hospital for 2-3 days
and no midwife visit at home.
Babe's urine & stool output certainly seems to vary, depending on the length
& type of labour and if any IV fluids given. It can be quite tricky dealing
with these mother's over the phone. Referral back to the hospital is often
given if we are concerned, especially as mother's tend to only tell you what
*they* think is important. Without thorough questioning and history taking,
you often don't get the whole picture.
I had the interesting experience with my last birth, of having a baby who
would not breastfeed for 48 hours. It was my first home birth following 2
hospital births where those babies fed within an hour of birth!!
I drank to thirst (not hungry) during the 5 hour labour. On reflection, I
feel this babe just needed to sleep after a tumultuous breech birth with a
true knot in the cord and him needing a few moments to gather himself into
this life. He was also very mucousy and would seem to want to vomit. I
offered the breast often, which he ignored, so at 24 hrs I opened his mouth
and squirted some colostrum in. I did this a few more times until he woke
up and fed at 48 hours.
During this time he was passing meconium, but had urates on his nappy. A
feeding frenzy then ensued for 12 hours!! So, getting back to the topic of
what is a *normal* count, it goes back to a common theme on Lactnet ie we
need some guidelines, but there are exceptions to the rule. Somewhere we
have lost our trust in the process of birth and breastfeeding.
Sorry for the long post. Just musing when I should be studying! Thanks to
Lisa Amir for the reassurance about the *entry level* exam. Two more
sleeps.........
Trudi
:-) 8 :-) 8 :- ) 8 :-) 8 :-) 8 :-) 8 :-) 8 :-) 8
``````````````````````````````````````````````````````````````
Trudi Szallasi RN BNurs
NMAA Breastfeeding Counsellor
[log in to unmask]
``````````````````````````````````````````````````````````````
:-) 8 :-) 8 :-) 8 :-) 8 :-) 8 :-) 8 :-) 8 :-) 8
***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
