We have had our share lately of moms with difficult
> deliveries and subsequent babies not interested to feed in the first 24-
> 48hours. The nurses are all over the map as to " how long to let this baby
> go" before supplementing if mom can not express colostrum. We do not have
> a
> good policy on supplementing.
My first response to this is why can't the mothers express colostrum? My
thought would be that when there is a difficult birth, with the possibility
that baby won't nurse well, the mother should be helped to hand-express
colostrum beginning in the first 30 minutes after birth and to continue
every hour or two until the baby gets to the breast. Then if supplementation
is needed, you can use the colostrum.
Teresa Pitman
Guelph, Ontario
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