Hello Wise Ones,
 
I need your input. I have permission to post.  A very  close friend gave 
birth this afternoon.  This is a SGA baby.  Mom is a  G4P4.  None of her other 
children had any problems.  Baby born at 37  weeks at 3 lbs 7 oz.  Baby taken by 
Csection due to extremely low amniotic  fluid and nonreactive NST's over 2 
days.  
 
Baby latched on VERY well.  Nursed for 20 minutes each side,  swallowing 
heard.  However, blood sugar dropped and baby was taken from mom  in recovery to 
the special care nursery.  Given 25 cc formula per  gavage.  Baby is staying in 
SCN due to low body temperature and blood sugar  issues.  Mom will be allowed 
into nursery to nurse ad lib.  Mom is  fearful they won't come get her to 
take to baby, in attempt to "let her  rest".  Mom has been very stressed since 
baby began showing problems back  in November.  She is very teary.  I have 
encouraged her to keep  requesting to nurse in the nursery.  Also encouraged to 
pump between  nursings so as to have extra colostrum on hand in case of blood 
sugar  drop.  Encouraged mom to give as much sts as possible.  Gave her  
rationales.  Nurses seem relatively willing to comply with mom's  requests.  
 
The staff IBCLC will not be available until Monday.  I offered  to answer any 
questions and concerns she may have.  
 
Is there anything I am leaving out?  Do you manage SGA babies  as you would a 
preemie?  Is there any printed info I can print off and give  her to read to 
help her feel more assertive so that care is as she would  like?  They expect 
baby to be hospitalized at least a week if not  two.  Should mom be instructed 
to pump with the same schedule as if she had  a preemie?  She has 3 other 
children and may or may not be able to spend as  much time as she would like at 
the hospital caring for the newborn.   Is there a printed pumping protocol I 
can print off for her?  This is a  level 2 care nursery so I am not sure this 
type of information is readily  avaliable to this mom. 
 
Thanks in advance for any light you can shed.
 
Renee Drake RN CLC
 
 
 
 

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