A defined risk group, (LGA, SGA, post dates, I think, pre term, or on and
on...). This comes to a lot of babies, however,...in my experience...as I
see a zillion heel sticks on the little feet I am seeing in my practice. I
usually work in private practice, but do work per diem in a hospital as an
RN and sometimes  LC ... Today I was in the hospital as a patient for a
colonoscopy. May I vote for you all over 50 who either have history, or are
symptomatic, to be tested according to your doctor's recommendation.  Again
this is different in different cultures/countries. I think Rachel might live
in the glorious country of Norway where there is a glorious (in my head
today, anyhow) no routine colonoscopy policy I would have had to have it
anyhow, but I am safe and sound and all is well, just to report.  A little
weird from medication. '


Back to the discussion on bf and hypoglycemia. We are having a problem iat
times in that the babies that are sometimes asymptomatic, but which are in
the first 24 hours of life and fit the criteria, ie pre term, LGA, etc, are
tested until they have three over 50, and sometimes, they flip flop aboe and
below 50, and we have to start again if there are not three consecutive
numbers.  We need to get these babies breastfeeding, and watch them for
acute symptoms, and keep them skin to skin, and with their mothers...and at
breast. Sometimes we have good luck hand expressing colostrum and spoon
feeding it to those very sleepy babies who will not or cannot at that moment
latch. The more the baby gets in, the better they latch ( as their sugars
rise and they become more alert and awake).  Anyhow, I just want to know
what the science is here, and what the numbers should be based on.. ? I
wonder how many times we did not take a snapshot of the glucose in the past
years, and how many babies may be been lower than 50, above 40, and doing
just fine? I mean, what is the number we should worry at? Or is that a
combined thing with symptomatology?   And, is a heel stick as accurate as a
blood level drawn by venipuncture?  Kathleen


Kathleen Bruce RN BSN IBCLC
Lactation Resources of Vermont, Listowner /OriginatorLactnet 1995
[log in to unmask]  http://www.kbbspin.org

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