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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 2 Mar 2004 06:22:54 -0600
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Janet,
It does sound like the NICU you are describing is taking a very
conservative approach.  Perhaps they feel that the nurse must stand
by while a mom is giving K-care to a baby they feel is unstable.  If
baby stays in the crib or bassinet with all the monitors
functioning, the nurse can attend to her other charges!  It sounds
like one of those walls that you have to keep chipping away at a
little at a time.

50 as a bottom limit for blood sugars?  And  I complained when they
went from 40-45 where I was.  They also cited some "new research"
which I have not seen.  One tip-be sure the nurses are warming the
baby's heel for the stick the same as they would do when drawing
larger amounts of blood as for the infant screen.  It is possible to
get the drop for a glucose test without warming, but I ahve seen
significant differences in the results with readings 5 or more
points higher when the heel was warmed first!  It can make the
difference between supplementing and not supplementing.  Policy
where I was stated that for a slightly lowered range (can't remember
if it was 35-45 or 40-45) without overt symptoms, baby was to be
nursed, then blood sugar rechecked a half hour later and if still
low, then supplement given.

Winnie

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