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First resource is the Academy of Breastfeeding Medicine at <www.bfmed.org>
Click on Protocols. There are a great many of interest including one on Hypoglycemia - of course with citations & references.
Invite your hospital's physicians to join the organization!
Mass BFC's website has this Guide to the first 48 hours recommending glucose checks only in at-risk (or symptomatic?) babies:
http://www.massbfc.org/earlyBF.html
Oviously, there are others, but these are two off the top of my head.
Phyllis
---- Lisa Paladino RNC SNM <[log in to unmask]> wrote:
=============
I am in the midst of trying to change our archaic practice of glucose heel
sticks for all newborns at 1 hour of life, which obviously disturbs skin to skin,
bonding and breastfeeding and often leads to a cascade of intervention. I
have collected evidenced on the topic and my presentation has led to a
meeting with the chairman of the department of peds.
My need from all of you wise and experienced women is this: how is this done
elsewhere? What parameters are acceptable to ask for? I am looking for
policies from other hospitals. Or if anyone knows what baby friendly hospitals
do. Are routine heel sticks banished all together, are they for infants of certain
wt, conditions of mom? What if baby doesn't latch in DR, or mom plans to
bottle feed?
I would think that only symptomatic or LGA would need to be checked if all
other conditions are fine.
I appreciate any guidance you can give.
Thanks so much,
Lisa Paladino SNM RNC (graduating in May!) breastfeeding advocate
--
Phyllis Adamson, IBCLC, RLC
Glendale, AZ.
[log in to unmask]
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