I don't save articles I have read, so can't provide the resources, my files
would fill a room!  They are out there somewhere and rather recent as
well....it was something I read in the last year or so.  At this point, I
am too busy to do an extensive search for a casual conversation.....I have
a grandbaby due NOW and moms water is broke...wating for the phone call to
come and help any minute!!!!!!!

Further, I have been affected by 2 very sad cases I was invloved in within
the last 5 years in which the mothers were "closely monitored" with tri-
weekly NSTs,as well as weekly biophycial profiles of their twin pregnancy
from the 37th week on and both went home with only one baby.

When this was discussed with the MDs, they pointed out that the monitoring
is just a snapshot....it can tell us the baby is OK RIGHT NOW......it can't
tell us the baby will be OK tomorrow.   Granted, if a baby is happy in
utero and the placanta is functioning OK, it is unlikly that things would
change abruptly, but they can....and do.  And twins are higher risk for
lots of reasons.....much more so than some of the other quasi high risk
patients we see.

Since that time, the MDs in my area encourage delivery, if the mother is
willing, by the 38th week.  Given what I have seen in the 17 years I have
been a nurse and what I have read,  I would have a hard time suggesting to
a mother the she should consider going against that advice due to potential
feeding problems.

Lori Peters RN IBCLC

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