I guess I am older than everyone else on the list...  when my first 
baby was born, all  babies at that particular hospital were kept NPO 
for TWENTY-FOUR hours after birth, supposedly to keep them from being 
mucous-y.    Eileen
On 26-May-07, at 11:57 AM, [log in to unmask] wrote:

>
> In a message dated 5/22/2007 8:59:53 PM Eastern Daylight Time, Wightsd
> writes:
>
>
> No-one knows exactly how much colostrum is necessary in any given 
> infant  to
> maintain blood glucose, but it must be VERY little.  You are too young 
>  to
> remember when we were taught to keep all babies NPO for 6-8 hrs, then 
> feed
> sterile water, and only then formula or breast milk.  The WHO document 
>  says no
> healthy term infant gets hypoglycemic from underfeeding in the first  
> few days.
> Epidemiologic studies show that blood glucose increases over  time 
> whether the
> infant is fed or not.
>
> Any feeding at the breast or drops of colostrum are considered OK.   
> The
> specified volume is for formula, not EBM.
>
>
> Nancy
> Nancy E.  Wight MD, IBCLC, FABM, FAAP
> Neonatologist
> Medical Director, Lactation  Services
> Sharp Mary Birch Hospital for Women
> San Diego, CA  USA
> [log in to unmask]
>
>
>
> Nancy, thank you for your response and flattery to my age.
> I have been preparing for the Skills Day, which we have twice a year  
> at my
> hospital.  I am covering the composition of breast milk and  
> management of
> hypoglycemia.
> As I continued my research for material I came across a syllabus from a
> conference that your were a speaker.  This was a couple years ago in 
> the
> Berkshire area of Massachusetts.  In your talk, Nancy, you covered  
> hypoglycemia.
> There is a wealth of material for me to refer to at my short  talk.
> My next hurtle is getting the majority of staff to believe in the 
> science
> verses just being comfortable with the way they have always done 
> things.
> Thanks again,
> Ann Perry, RN IBCLC
> Boston, MA
>
>
>
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