----- Original Message ----- 
From: "Magda Sachs" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, December 12, 2007 9:50 AM
Subject: [LACTNET] UNICEF UK BFI hypoglycemia policy


> Hi, this is UK information, but may be of interest to others.
> Magda Sachs

**Thank you very much, Magda, for this document! I'm gonna print and fully 
read it.
I have a question about the flow chart, that says, after proper care at 
birth, this should be the procedure:

Ongoing management to include:
* Review (level of consciousness, tone, temperature, respiration, colour)
* At least 3-hourly breastfeeds/EBM
* Encourage mother to observe feeding cues
* Further skin contact
* Keep baby warm
*Pre-feed blood glucose (BG) monitoring for 24-48 hours, initially prior to 
second feed then stop when level is normal x2

Who can tell me some more about the last point? If all goes well, why should 
you check (how, without hurting the baby and the procedure becoming a 
traumatizing intervention?!) pre-feed blood glucose levels? I think this 
could once again be something that really interferes with normal biological 
behavior and increases medicalization of an in itself truely normal, steady, 
trustworthy process.
Do I understand things in the wrong way...? :-s

Regards,

Marianne Vanderveen, Netherlands

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