In a message dated 11/5/2007 6:08:13 P.M. Eastern Standard Time,
[log in to unmask] writes:
The problem is, when it gets to be any longer than 5-6 hours and an infant
has not yet breastfed since birth, everyone gets nervous and will not hold off
giving the supplement, including physicians. In all of the literature I am
looking at, the mantra is it is not necessary to supplement unless
medically indicated
Dear Friends:
The Academy of Breastfeeding Medicine has a lovely protocol on this topic at
_www.bfmed.org_ (http://www.bfmed.org) .
If a baby has to be supplemented, and has been s2s, it is easy to have the
mother hand express some colostrum into a spoon or a 1-cc syringe and feed that
to the baby. Then everyone is happy: mamma (who sees she has milk that is
valued), baby (who gets the right food), and healthcare staff (who see a fed
baby with a lovely blood sugar).
Babies can go at least 6 hours without being fed. See this article by
Diwakar et al.
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nMethod: A total of 200 healthy, term, AGA infants were longitudinally
evaluated at 3, 6, 24, and 72 hours of life. Plasma glucose was estimated from
heel prick capillary samples. The influence of mode of delivery, parity, and
interval between feeds on plasma glucose was analysed.
nResults: There was no significant difference between the plasma glucose
levels of the cohorts at any of the sampling time points. Parity, mode of
delivery, and time since the last feed did not affect plasma glucose. Satisfactory
glucose levels were maintained even when infants remained unfed up to 6 hours
of age.
nA term, breast fed infant may have its own distinct plasma glucose levels,
showing no significant variation between 3 and 72 hours of age. Plasma
glucose levels are satisfactorily maintained in normal term infants without resort
to prelacteal feeds. Mode of delivery, parity of the mother, and interval
between feeds did not influence plasma glucose.
nBiochemical thresholds for hypoglycaemia do not seem to be of practical
importance in asymptomatic, normal, term, breast fed infants.
nArchives of Disease in Childhood Fetal and Neonatal Edition 2002;87:F46-F48
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Babies kept s2s are being fed metabolically and energetically by their
mother's body, almost as if she was still pregnant. A baby that hasn't eaten must
be kept s2s so its temperature and blood sugar and heart rate and oxygen
saturation stay at optimum levels.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
_www.breastfeedingalwaysbest.com_ (http://www.breastfeedingalwaysbest.com/)
www.myspace/AdonicaLee
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