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Date: | Fri, 16 May 2008 17:29:53 -0400 |
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Hi everyone,
This post came at exactly the right time for me, because yestarday we
introduced a new hypoglycmia policy that is very breastfeeding friendly. I was
so excited to work on it and get such wonderful support from the clin specs
who were writing it.
First, stop the blood sugar from dropping in the first place. Our new policy
states all babies should be skin to skin with mom immediately after birth. We
no longer screen every baby- only those that are at risk and symptomatic.
The policy also states to use a heal warmer first before the test(babies are
acrocyanotic right after birth and the heal warmer helps get a more accurate
sugar and prevents false lows). If 25-45, baby may breastfeed and sugar
checked 30 minutes after feed. If still lo, supplemented with 3-5cc/kg of
formula or colostrom with any alternative feeding method. Babies below 25 and
synptomatic are then transferrred to our scn for IV therapy.
I believe we will have very few babies reaching the supplementing part with
skin to skin and a first breastfeeding.
Policy goes into affect this summer. I'll let you know how things go.
Ellen, hospital LC in very rainy Maryland
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