This is my first post, so let me introduce myself.  I am an RN, IBCLC working
in the lactation center of a large teaching hospital south of San Francisco.
I have many years of experience working as a NICU nurse and have had a
special interest in breastfeeding issues of premies. The lactation
consultants in our hospital cover post partum, NICU, Intermediate Intensive
Care Nursery and mothers and babies who have been readmitted to either adult
floors or to the children's hospital.  We have an outpatient practice as
well.  In regards to this infant whose mother has a history of Group B strep
and has tested positive for Staph, it is imperative that s/he recieve medical
care immediately. Infants who are septic may show only soft signs such as
poor feeding and lethargy. A temperature in a newborn always warrents a
further workup.  This baby is showing signs of being sick.  I have had the
unfortunate experience in the NICU of seeing babies die of overwhelming
sepsis and it can happen quickly.  I would use all of your powers of
persuasion to convince this mother to get the baby to the hospital and if
this doesn't work a call to CPS (Child Protection Services) may be warranted.
I understand the difficult situation you are in but this baby needs medical
care.  Perhaps a call to the pediatrician who can access CPS and make them
understand the importance of quick action would be helpful.  Sorry my first
post is so long.

Kathy Boggs, RN,BSN, IBCLC

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