In a message dated 11/25/2003 10:52:04 AM Pacific Standard Time,
[log in to unmask] writes:
I attended a birth as a doula last night in a hospital whose strict policy
was that all their babies had to go to the nursery and have a bottle of
glucose water before they were allowed to breastfeed, to make sure they
could swallow well.  According to the Breastfeeding Answer Book, there are
other ways to check for this, but the book doesn't list them.  Can someone
please let me know what they are and/or can someone provide me with the
research that shows this use of glucose water bottles is an unnecessary and
potentially harmful policy?

This advice is 30+ years old.  Even the AAP does not recommend this!  Babies
with TEF are few and declare themselves in the delivery room or shortly
thereafter because they cannot swallow their own secretions - you don't need to give
them anything else!  Look at the Perinatal Guidelines book put out by AAP and
ACOG.

Nancy E. Wight MD, FAAP, IBCLC
Neonatologist, Children's Hospital, and Sharp Mary Birch Hospital for Women
Medical Director, Lactation Services, Sharp HealthCare
San Diego, CA, USA
Email: [log in to unmask]

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