Susan,

This seems an easy question "how long can a healthy term baby go before
supplementation is medically indicated?"  But I don't think it is so easily
answered. The key phrase in your post, to me, was "infant has not yet
breastfed since birth." In that case, if staff and doctors and probably
mother are uncomfortable and worried, how about expressing some colostrum
and giving that to baby via spoon or dropper? I'm assuming baby is skin to
skin this whole time, because you say the staff are getting better at that.
I'm sure others will post on decision trees, and hypoglycemia protocols etc,
which I don't have at hand. Congratulations on the progress you are making!
Laurie Wheeler RN MN IBCLC
MISSISSIPPI USA

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