Try  all the most recent literature on KMC including Nils Bergmans web site
where he has listed references. also Chao-Huei Chen, Teh-Ming Wang, Ho-Mei
Chang and Ching-Shiang Chi 'the effect of breast and bottle-feeding on
oxygen saturation and body temperature in preterm infants'. (2000) Journal
of Human Lactation.

To get round the difficulties she is having another solution is to find
temporary accommodation  within walking distance of the hospital and be with
her baby at least half an hour to one hour prior to each hospital scheduled
feed. KMC the baby for 1/2 to 1 hour prior to the feed and respond early if
that is what the baby wants. Stay with the bay keeping baby in KMC  position
for as long as and as much as possible responding to baby fed cues as
required. go to her accommodation and rest as as needed. but be with baby
for all feeds day and night except maybe one or two at night. this may mean
an intensive week or so but worth it and often means less time in hospital
over all. chances are by the time you read this and by the time
accommodation is arranged the baby will be ready to come home anyway. these
babies all get to go home eventually but parents are right if closer acess
for feeding and holding were made available there would be less cost and
stress to all.

with the amount of evidence around on this topic now it astounds me as to
why we have to fight for the simple act of mother and baby to be together to
feed.  But according to other like minded people the day will come when
hospital SCBU and NICU will be built to accommodate the mother.

All the best

Ruth

Ruth Cantrill



>
> Date:    Sat, 30 Mar 2002 19:08:41 -0600
> From:    Dawn K Martin <[log in to unmask]>
> Subject: Getting a baby out of NICU
>

> I have permission from this family to post here.  As a doula I was present
> on 3-15-02 for the vaginal birth of twins at 35 weeks.  Wonderful birth!
> Baby 'A', a girl, weighed 4'8" and is doing fine.  She roomed in and was
> discharged on day 2 or 3.  Baby 'B', a boy, weighed 4'14", had some fluid in
> his lungs, was grunting and retracting with each breath.  Oxygen saturation
> was low but came up nicely with oxygen.  After 4 1/2 hours he was transfered
> to the NICU.  Mom pumped, he never recieved formula but was given glucose
> and vitamin, minerals via IV.  Weight went down to 4'6", is now back up to
> around 5'.  He was gavage fed for 5 or 6 days then allowed to breastfeed.
> First few feeds weren't great, he'd latch but not suck, mom persisted and on
> day 7 he began sucking in short rythmic bursts.
>
> Mom has suggested letting her "room-in" with baby at the hospital (on
> another floor obviously) for a while so she can feed on demand and still let
> them monitor baby.  Staff dismissed this as a possibility.  Baby is being
> fed on a 3 hour schedule (via bottle if mom cannot be there).  This is their
> schedule not the mom's.  Mom feels strongly that baby will do much better
> when held by her, at home, next to his twin.  What sort of feeding criteria
> could they be looking at?  The dad is so angry and frustrated he is beside
> himself.  They get conflicting information from one RN to the next and one
> DR to the next.  They are requesting a "team meeting" to clarify exactly
> WHAT needs to happen for their son to be dc'd.  Any suggestions for (1)
> research studies (2) specific questions to ask (esp. from those of you who
> work in hospitals.
>
> Thank you in advance,
> Dawn Martin
> Austin, TX
>
> ------------------------------
>
> End of LACTNET Digest - 30 Mar 2002 - Special issue (#2002-382)
> ***************************************************************
>

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