LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM

Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
From:
Phyllis Adamson <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 22 Jul 2003 12:09:10 -0700
Content-Type:
text/plain
Parts/Attachments:
text/plain (65 lines)
One observation on the effects of small amts of colostrum on blood glucose
levels:

Yesterday (Monday) I visited a mom who had a vag delivery abt 1900 Sunday,
was still on MgSo4 IV for PIH & still had a Foley (long labor, teen mom,
pitocin, <6lb baby). Baby had never gone to breast - formula only so far.
Mom said she wanted to BF but he would not wake up to root or latch. He did
respond to massage with stretches & movememts of extremities, but acted
like he would prefer to stay semi-asleep while we continued to massage him
all over. He burped and yawned with some frequency. Pediatrician had said
she wasn't going to be concerned unless baby had not latched to feed by 24
hours.

Last feed Monday was 15cc formula at 0630. Glucose testing is by heel
stick. Level was 76 at 0940 and 73 at 1200. That's when my visits began.
Got him boosted up into comfortable 'football' hold & taught mom to massage
& express colostrum. She drip-fed him colostrum for about 15 minutes at
1200, 1330, & 1500. At 1530 his glucose level was 75! Our hospital uses 40
as the intervention level: feed, or else! Then she drip fed him colostrum
every 2 hrs: 1700 & 1900, after which I was gone for the day.

He did poop about 3x since birth. RN said they were small & green. Mom said
she was not given her baby to breastfeed in L&D. She could not tell me why.
Asked nursery RN to checked baby's chart. She said it showed a feeding of
30cc formula 1 hour after birth but she did not see anything in Progress
Notes to explain why no BFing in L&D. As usual, some documents showed two
different choices: breast-only and "both" or B&B.

Around 1600 he made some rooting & latching efforts, but each time he
seemed to latch, he sucked once & slid off. I had noticed earlier that he
had a prominent lingual frenulum & crease down the front end of his tongue,
but I wanted to see baby latch to see if it was severe enough to affect
feeding. Gramma said her son, baby's father, also had a prominent frenulum
but does not recall any problems BFing him. But memory does fade somewhat
after ~25 years. I suggested to mom that she discuss the frenulum issue
with baby's doctor & get her assessment. Our hospital won't do any clipping
in the PP period. Baby can "lick an ice cream cone", i.e. stick it out past
his lips, but forming & maintaining a seal can be another issue.

I documented all this for both OB & nursery RNs & left a referral for my
coworker LC to followup today on latch / frenulum issues. I only hope that
baby wasn't stuffed with formula during the night.

I'm taking off for a few days: T -5.  :-}

Does anyone else feel like they're spinning their wheels in the mud?


--- Phyllis Adamson, IBCLC, RLC
--- Glendale, AZ, USA
--- [log in to unmask]
--- Scanned by Norton AntiVirus with auto-updates

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html

ATOM RSS1 RSS2