Hi
I have asked about this issue before and I got some good answers.  However
my real dilemma tho' is how much time is appropriate to spend on encouraging
breast feeding promotion when nothing is working,ie Baby is either too
sleepy, too frustrated or just not with it.  Staff in an special care
nursery have the time to teach and encourage to a degree.  There is a limit
as to how much time one nurse can spend on this issue, given that there are
other patients to care for as well.  It is very expensive to keep an infant
in an acute care setting just to insure that breast feeding is working.  The
solution is to feed a bottle with breastmilk because most infants will take
a bottle and if everything else is "OK" then discharge the infant.  Suggestions?
Thanks Susan RNC BScN Ottawa, CAN