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Date: | Fri, 6 Mar 1998 18:11:59 -0600 |
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1. Avoid routine admission care (eye ointment, Vitamin K injection, etc)
until after the first feed.
2. Advantages of BF immediately after birth which include:
skin to skin contact
opportunity for the infant to pattern with the mother
effective latch on skills
organized suckling patterns
longer continuation of BF (Righard, 1990)
3. First Feeding is the "Introduction to the Breast Session"
goal is for infant to become acquainted to the breast
postioning is less critical (avoid traumatic latch-on)
Intimate time for the family - avoid noxious stimuli
Infants usually receive <5cc of colostrum
If the couplet is separated or not assosted to BF within the first to
hours following birth, record should document why
4. What can L & D Nurses do to improve care to BF fmailies
balance convenience and efficiency with humanistic care and the importance
of establishing healthy family interactions
focus on whose needs are being served
Reduce technological barriers, enhance skin to skin contact and touching
5. Intrapartum Red Flags-who is at risk for BF difficulties?
Inadequate social support
Elective induction of labor (usually a long tiring process)
Long dfficult labor
Analgesia or anesthesia in labor
Separation of Mother and Baby
Delay in the initial feeding beyond two hours
Afternoon and evening births
All of these tricks really do work in establishing a good breastfeeding
pattern and identifying who is at risk. I can't take all of the credit for
these tips though. The credit goes to Debi Bocar who has taught these tips
to me and a lot of oters throughout the Midwest.
Maurenne Griese, RNC, BSN, CCE, CBE
Birth and Breastfeeding Resources http://www.childbirth.org/bbfr
Manhattan, KS USA
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