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Subject:
From:
"Julie Graves Moy, MD, MPH" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 25 Jun 1996 12:56:47 -0500
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this type of physician behavior tends to come in waves, usually after some
article in a journal talks about hypoglycemia in infants of diabetic
mothers, or after a formula rep starts talking about it when bf rates are
going up...
if you wish, privately email me the fp's names and I'll tell on them
(there's a list structured like lactnet for fp's)
colostrum has better ability to stabilize blood sugar than does dextrose
water - early and often feeding keeps sugar up and gets milk going
but - another issue here is intervention, both unnecessary testing and
articial feeding methods.  The unnecessary testing could be addressed by a
chapter in Chalmers' Guide to Effective Care of the Newborn - Oxford Press
- it's a text that presents detailed analyses of current literature on a
number of interventions in the perinatal period.  It specifically states
that routine glucose testing should not be done.
Ask these docs for some justification for routine testing or testing of
asymptomatic and low risk babies - and talk to them about the harms of
overtesting.
Also, talk to doctors and nurses about using pumped colostrum or even
formula via finger feed, SNS, or other non-artificial-nipple method of
administering.  Perhaps the hassle of hooking all that stuff up will get
them to realize that the best way to keep sugar stable is to allow
unlimited feeding and skin-to-skin..
good luck.  And I'm serious about tattling on these docs...

Julie Graves Moy, M.D., M.P.H.
[log in to unmask]
http://www.bga.com/~jgmoy
P.O. Box 4768
512-342-1624 (new)
Austin, Texas  78765
512-342-1628 fax (new)

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