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:
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 21 Dec 1997 17:24:39 -0500
Content-Type:
text/plain
Parts/Attachments:
text/plain (28 lines)
It is possible, but the problem is that c-section in itself results
often in poor breastfeeding "routines".

What I would like to address is how did someone make a diagnosis of
dehydration in a 2 day old baby?  And dehydrated enough to go to the
ICU?  Something is wrong here.  There is just too much hysteria around
about dehydration.

If there is concern, observe the breastfeeding.  If the baby is
latched on well, and getting milk, the baby will become
"undehydrated".  If not, *fix the latch, use compression, switch
sides*.  If that doesn't help, supplement with expressed milk +/-
sugar water (with a lactation aid, because babies learn how to
breastfeed by breastfeeding). If the baby doesn't latch on, then help
fix that.  If the baby still doesn't latch on, finger feed or cup
feed.  What a waste of time or money to put the baby in the ICU.
Unless there is something going on that was not mentioned.  A full
term baby should not have gotten hypoglycemic even if he did receive
"nothing" for two days.

Monitoring of output is not the issue.  Monitoring of the adequacy of
breastfeeding *is*.  The fact that there is now rooming in the
hospital is no excuse for not observing and helping mothers with
breastfeeding.  On the contrary, surely this would give the nurses
*more* time to do this.

Jack Newman, MD, FRCPC

ATOM RSS1 RSS2