My apologies as I am not able to access the archives well.
On the issue of first feedings of term babies 37 wks or greater who
otherwise have no complications ie. like trauma or gestationally diabetic
mothers, what are the acceptable printed guidelines for amt. necessary
especially if baby cannot latch.  Mom is pumping and getting little to no
colostrum drops (GOLD)when do you give D5W, vs. artificial milk. / and at
what amt.  If there is .5-1cc enough to manually express and spoon feed we
will do that. Dr.'s and nurses feel the need for quantifying everything,
and I used to say that you need to just use your judgment while looking at
the baby and mom and all factors involved.  It is the judgment of many of
thise folks that do not look at the whole dyad to drive their actions that
is the problem.
What is the thought about "rinsing any adhered drops from the pump parts or
sides of the bottle to get ? amount to give the baby.  Historically D5W has
been used to do this to give the baby a little energy.  Is there any curent
aggrement on the amount necessary and over what period of time?  6, 8, 12.
or 24 hours.  If there is a mucousy gaggy, spitty, newborn who obviously is
not hungry at 12 hours without symptoms of jitteriness or inability to keep
his/her temp regulated, What do you do? I know what I do, I just want to
have current guidelines in order to have the printed resource to provide
the physicians with our research based information.
We are also having a crisis with travelers doing their own thing which does
not make any sense at all and confusing the heck out of mothers.
Current inservicing of our staff is a priority to "attempt to get everyone
on the right page

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