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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 26 Feb 2004 08:47:01 -0600
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Kathy,
Thanks for your comments.  While we don't want to give the
impression that anyone with larger than a certain size breast should
be restricted in breastfeeding due to any increased risk for
suffocating their babies, I have seen that for some very large
breasted moms, regardless of positioning, they may need to gently
press in on their breasts (well back from the areola so they don't
disturb the latch) especially in some situations such as an
extremely receeding chin.  Once baby is a bit larger and has "become
a pro" at nursing, this usually isn't necessary.  However, my main
point in that comment was pointing out that even if this was
possible, a normal baby would have "complained" about not being able
to breathe!

I do take some exception, however, to the following:
"I also haven't seen anyone comment on the one thing that stood out
for me
the most from the original post, and that was the 15 minute delay
between
when the mother asked for help from the nurse (to put the baby back
in the
bassinet) and when the nurse/midwife arrived at the bedside to find
the baby
not breathing.  Why did it take so long?  Was the mother having so
much
trouble putting the baby in the bassinet because the baby was limp
because
it was unconscious?"
Having worked on an OB unit as a nurse, I know that sometimes you
have to prioritize answering calls.  If this mom was  in some way
not ready to hop out of bed and put baby in the bassinet, she may
have needed some assistance and not have indicated it was due to any
concern about the baby.  Ideally, if the nurse is tied up with
something like helping a C/S mom out of bed for the first time, she
would ask the mom if she could wait a bit or if she needed immediate
assistance, but this isn't always feasible.  On the other hand, if
mom hit the call light and said that something was wrong with her
baby, there would have been someone in there on the double!  So the
question of time is worth asking, but I didn't see anything in the
original post that indicated the staff would have had any indication
mom's call meant the need for immediate intervention.

Winnie

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