How about a 49% c rate?
----- Original Message ----- 
From: "Dawn Kersula" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, March 31, 2010 8:57 AM
Subject: Breastfeeding norms - 1st 24 hrs


> This is a really good question. I did a lit review when we started using 
> the
> AAP hyperbilirubinemia nomogram as our pedis put "insufficient
> breastfeeding" as one of the risk factors. (God bless them all!)
> So then the question was - what is insufficient breastfeeding in the first
> 24 hrs? The only reference I was able to find was a VERY old Larry
> Gartner/AAP Breastfeeding Committee policy that said insufficient
> breastfeeding = less than 4-6 times in the first 24 hours.
>
> One of the problems with a quantitative research study on this topic is 
> that
> our labor and birth practices are so out of whack that we don't know what
> normal is anymore.
>
> We still have a 10% epidural rate and 25% cesarean rate (how sick that I'm
> excited) and note that our primip babies almost always nurse well within 
> the
> first hour and then sleep till about 20 hours, then cluster feed. Usually
> the moms sleep while the babies sleep.
>
> Our multiparous moms mostly keep their babies in their arms and they are
> "always breastfeeding."
> Just more anecdotal evidence....Who among us will find someone to do this
> study??!!
>
> Dawn Kersula MA, RN, IBCLC, FACCE
> in southern Vermont - at the northern tip of all that New England rain and
> thankful that the Connecticut River is roaring but not raging today
>
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