Pardon my ignorance, but what is D5?
Nancy Sherwood IBCLC
Reston, Virginia
> Date: Thu, 17 Mar 2005 08:45:39 EST
> From: [log in to unmask]
> Subject: D5 pre and post circ
>
> Lucy has described a scenario that begs the question of informed consent
and
> poor understanding of the relationship between pain management and
> breastfeeding. If a penile block was given to the baby then why is he
crying from
> pain? Could he be crying because he is separated from his mother,
restrained, and
> being handled roughly? It is well known and reported in the literature
that
> sucking at the breast modifies pain significantly. The baby should have
been
> placed at breast to reduce the crying and allow pressure on the bleeding
> circ. He could also be given tylenol for pain. Shoving a bottle of D5
into the
> baby's mouth without permission of the mother is battery. The combination
of
> fasting (which I bet happened before the circ) and hard crying drops
blood
> sugar levels. Blasting with D5 is known to bounce the blood sugar levels
around.
> Did anyone check blood sugar levels sometime after being given the D5?
>
> At this point, the mother with limited English was not consulted, nurses
did
> not follow unit policy, the baby refused to breastfeed, and the mother has
> had information withheld from her. An incident report should be filed. If
the
> baby is unable to complete 2 successful feeds at breast prior to
discharge,
> then community standards for discharging breastfed infants has not been
met.
> Perhaps an inservice should be scheduled with a protocol for this
scenario
> created as a result. Nurses should be required to read the published
articles on
> the relationship between pain relief and breastfeeding. A physician's
order
> should be required before any sugar or artificial nipple is given to a
> breastfed infant. The risk management department should be informed of
this and
> asked if they could foresee a lawsuit for battery, infant health risk
from not
> being breastfed, and nurses who do not follow unit policy.
>
> Marsha Walker, RN, IBCLC
> Weston, MA
>
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> ------------------------------
>
> Date: Thu, 17 Mar 2005 09:17:12 -0500
> From: Judith Hayman <[log in to unmask]>
> Subject: Re: Alternating sides with bottle feeding
>
> >>Please remember that I said amblyopia--which is one type of eye
> >>problem, not all--*predominantly* occurs in bottle-fed babies.
>
> >Do you have any references for this? Since my son's diagnosis,=20
> >I've read a >lot on amblyopia and haven't come across any=20
> >information on infant-feeding >method having any bearing on it.
>
> I did some searching on PubMed for this because of a personal interest:
> twin nephews (now adults), both with strabismus. Both of them have at
> least one child who has the same. =20
>
> There is no research that I could find to support a connection between
> amblyopia and infant feeding method. I did a variety of searches, with
> search terms like amblyopia, strabismus, infant, epidemiology, etiology
> and feeding.
>
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=3DPubMed
>
> The major causes of amblyopia are cited as strabismus, refractive error,
> and congenital cataracts with strabismus as the most common. But the
> causes of strabismus (the only one of these amenable to the effect of
> varying position) are cited as being congenital muscle, innervation or
> CNS problems. =20
>
> Judith
>
> Judith Hayman, RN, IBCLC, BSc, BScN
> Public Health Nurse & Lactation Consultant
>
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> ------------------------------
>
> Date: Thu, 17 Mar 2005 06:21:24 -0800
> From: Jennifer williams <[log in to unmask]>
> Subject: Baby steps for Baby Friendly
>
> Hi to all! I have learned so much in the last 6 or 7 years I have
subscribed
> to LACTNET. Not just about the technical aspects of lactation, but also
> about how vital it is to improve the culture in the USA particularly so
that
> more women and babies breastfeed. At the hospital where I deliver babies,
> there is an official move to revamp and improve the breastfeeding policies
> and to look at ways to improve our statistics. I am pushing for the
hospital
> to go Baby Friendly. Several key players are in place to make this happen.
> The main barrier at this point will be the cost to the hospital to
purchase
> formula for the formula feeding moms and also for the NICU. The manager is
> contacting the MJ rep to discuss how much $$ that will be. (Of course
there
> are major ethical reasons, but sometimes the money people respond best to
> money reasons) I worry that she will receive inflated prices. I also plan
to
> counter this cost with evidence about how much $$ breastfeeding will save,
> ie with the Kaiser study. My question is, how do we find out what a fair
> cost for formula will be for our hospital? I would also like to have
> private communication with anyone who has been through this process. We
are
> at the discussion stage and I want to lay an excellent plan out.
>
> Jennifer Williams, CNM
>
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> ------------------------------
>
> End of LACTNET Digest - 16 Mar 2005 to 17 Mar 2005 - Special issue
(#2005-343)
>
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