List serv --
I was giving an outreach lecture yesterday and a participant came and
asked me about evidence-based information regarding first water feeds
for bottle feeding babies. I realize this is a breastfeeding listserv,
but thought maybe someone might have a classic article in a file
somewhere and be able to reference it!! She is a newer nurse and had
done her nursing clinicals in our hospital and knew we didn't do that --
babies either go to breast or get formula right away, depending on mom's
feeding choice. She indicated that their nursery in this smaller
hospital has a few nursery nurses who have been there "30 or 40 years",
and are very set in their ways.... They insist the bottle babies get
3 consecutive feedings of water before starting formula (helps them get
rid of mucus).
Guidelines for Perinatal Care only state, "If the neonate is stable and
if BF has been elected by the mother, the neonate should be placed at
the breast in the delivery room within the first hour after delivery."
Several sources talk about not using water supplementation for
hyperbilirubinemia, etc., but frankly I think the practice of initial
water feeds is such an ancient one, that nobody even talks about it in
books anymore......
I did suggest to her that she bring it up again, perhaps to the DON or
someone. Maybe they need to bring their documentation in support of the
practice (the hazard with asking for that is the apparent difficulty in
finding an article to dispel the myth of needing to do initial water
feeds in order to support discontinuation of that practice!).
So, if anyone knows of an article or reference in a book to state you
shouldn't do water feeds first in the nursery, I'd appreciate the
reference/help.
If from a book, you could fax the title page of the book along with the
appropriate pages if able.
THanks.
Becky S.
Sioux Falls, SD
fax 605-322-3482 (please add: Attn: Becky)
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