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Subject:
From:
"Maria Parlapiano RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 11 Aug 2011 10:00:52 -0400
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text/plain
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About 10 years ago, a pediatrician referred a 3 wo baby who was having wgt gain/feeding issues.  This baby stopped breathing and became unresponsive at the breast.  Upon arousal - the baby started breathing then again stopped - I provided artificial respirations until the squad arrived.  This baby was in heart failure before my very eyes.  He ended up having a large septal defect and was in the OR within hours and survived thank God.  When I called the peds, she said to send the baby back to her office of which I responded , "No, this baby has gone to the nearest hospital via EMS!". 

As we know, feeding issues along with other things can be cardiac related.  I have had babies with apnea, peri-oral cyanosis and the like.  I have had mother who were quite ill show up as well, some who needed to be hospitalized. 
In private practice especially, even with a good phone pre-visit assessment, you never know what may come through that door. 
Never assume that everyone who has seen this baby or mother before you has done a completely thorough job - your assessment is equally as important and vital.  Many of us have picked up on issues that were missed - quite often I may add.

So, not to mention good assessment and exam skills, but yes, CPR training is necessary for anyone working with babies and adults. 

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