This is one of those guidelines that I choose to ignore.  My daughter  had 
major neurosurgery (9.5 hours) at four months of age.  The MD told us  NPO for 
four hours prior to surgery.  My thought was that by the time we  got to the 
hospital, got her prepped etc. her last feed with me should be about  the same 
time as when we physically entered the building.  So I nursed in  the parking 
lot with my husband yelling at me that it was against the  "rules".  Who would 
know?  And what is the reason for NPO prior to  surgery?  Aspiration.  She was 
going to be on her stomach the entire  surgery and for the next three days.  
As it turned out, she didn't nurse  again for almost 24 hours, poor baby.  I 
have always been glad that I  decided to "break the rules" on that one.
Christie Pillado
El Paso, TX
 
 
 
 
In a message dated 5/30/2005 10:26:14 A.M. Mountain Daylight Time,  
[log in to unmask] writes:


Date:    Mon, 30 May 2005 11:27:19 EDT
From:   Chris Betzold <[log in to unmask]>
Subject: anesthesia and NPO  and Human milk

When my son was 2 years old I was told NPO after  midnight by the surgeon.  
When the anesthesiologist called me.   I informed him I was still breast 
feeding 
and that I was aware of the new  guidelines for human milk and it was changed 
to NPO for 4 hours.  I  currently work at a Childrens' Hospital.  Sadly, NPO 
after midnight  is still the standard.  There are so many issues to improved 
but 
this  is on the agenda.  If there are JACHO guidelines this will help us move 
 it 
along. Yet, my story shows that an informed mother can make a  difference.  
Chris

In a message dated 5/29/2005 9:01:34 PM  Pacific Standard Time, 
[log in to unmask] writes:
While the  below makes sense, I have now been at two children's 
hospitals with my son  where the exact opposite is hospital policy.  
Sedation is 6 hours no  breastmilk.  Endotrachial anesthesia is 4 hours 
no  breastmilk.

For one emergency surgery, they did treat breastmilk as a  clear fluid 
and allowed 2 hours.

Katie  Bredbeck





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