On Mon, 22 Dec 1997, Jan B.wrote:

> Jan B -- who is particularly frustrated with staff who scare mothers about
> dehydration in 24 to 48 hours.  Sigh.
>
Jan - When I first began as an LLL leader (24 years) we often suggested
to mothers that they just get into bed and nurse and nurse.  Then I took
and passed the exam and started trying to teach myself how to be a little
more defensive (sad to say) and also more proactive.  The baby that I
wrote about yesterday had lost a full 7% by discharge at 36 hours.  When
I saw him in the afternoon he had had no urine for over 8 hours.  Before
I left (after some BMS) he had urinated  BUT just after that he crashed
and was stuporous, lethargic and unresponsive.  Due to a fortuitous set
of circumstances hospitalization was averted (there was a PNP and a
family practice MD in the house at the time- and he perked up).  I am now
just a tad more respectful of early dehydration- and very glad that I
suggested that the baby did need BMS.  I am also very upset that the
hospital seems to have been unable to asses if any milk transfer was
taking place.

Sarah

Sarah Friend Barnett   LLLL, IBCLC
Bronx (New York City), NY  -  [log in to unmask]
" You are not obliged to finish the task,
 neither are you free to neglect it."       R. Tarfon