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Date: | Sun, 25 Feb 2007 12:10:08 EST |
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Dear Pam,
Please share with me your article on delaying breastfeeding.
Parents are so in a hurry to do it while the baby is in hospital because so
many insurance companies won't pay for it as an outpatient service. We who
work with newborns know that babies go into a downtime after the circ and may
not breastfeed as well do to the procedure and now the use of 24% sucrose and
locals for pain management. By the time you get the baby back to his Mom
his so saturated with sweets that he isn't interested in breastfeeding even if
its for pain management. Most Moms can't get enough expressed colostrum to
use instead of the sucrose or they have just fed the baby and the doc comes
rushing in to do it in a hurry and we can't get the expressed colostrum.
Advising Moms ahead of time that they may be confronted with these
challenges should be part of the informed consent. Many of our OBs will no longer do
circs and the Neonatologists are so swamped they don't like take a lot of time
to discuss it. So to develop a really good circ information sheet might be
the answer. Moms could get it and read it prior to signing the consents. In
our hospital only a few of the Neos do circs so this might even help them.
Medicaid doesn't pay for circs and so many of the docs OB or Neos have
patients pay out of pocket and this often dissuades them from doing it in hospital
and they wait until they have the money and do it as an out patient in the
office (also no hospital charge for instrument tray).
Does anyone have a form that speaks to circumcision and breastfeeding that
they use as a handout?
Leanne Jewell RNC, IBCLC, LCCE, FACCE
South Miami, Fl
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