Yes! the Near Term Infant is a challenge and unfortunately no one seems to
think they are a challenge because they are big.
OBs think they are big so no problem...Peds think that supplementation is
the great leveler.
Just send those 4 lbers out to the floor.  Triple wrap them in  blankets and
make sure the parents understand to feed them every 3 hours and if  they don't
breastfeed well, then just give them a bottle...or send the Mom a  pump and
let's watch her get even more frustrated because she pumps and thinks  she
doesn't have enough milk.....
The Moms keep the rooms so cool that skin to skin gets to be a
challenge...60 degrees is often where the thermostats go and the nurses are so  overworked
with 5 to 6 couplets that at night its easier to take them into to  nursery
and bottle feed.  It's a wonder I have hair left...from pulling it  out.
Let's hear from the world some ideas and what after the hospital challenges
are from our practices in the hospital cause...maybe causation can help effect
 change in how we treat and care for these no quite ready for primetime
babies.
Leanne Jewell RNC, IBCLC, LCCE, FACCE
SFl

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html