In my experience TTN improves rapidly with breastfeeding.  The only time this is not the case is when the breathing is so labored that nursing is not possible.

Janie Akerlund RN, IBCLC

Nurse-Midwifery Birth Center



Date:    Mon, 1 Dec 2003 14:48:06 EST

From:    Jay Gordon <[log in to unmask]>

Subject: tachypnea and breastfeeding



I have a 24 hour old baby at a well-known local hospital whose commitment to

breastfeeding is mostly lip service.  They have excellent LCs on staff but

protocols get their way, too.



This baby was delivered at term by CS for FTP and has a resp rate of 60 at

the breast and 70-90 when not at the breast.  I have always felt that aspiration

of breast milk--unlikely but possible with this RR--is not necessarily bad

and that even with this RR (most likely TTN) the infant should be nursing.



CBC showed very little, CXR was "hazy" and the baby looks great!  Pink, good

pulse ox reading and vigorous.  Strong sustained  suck.



They are gavage feeding formula and the neonatologists are able to walk all

over me at this hospital.



Am I wrong about BFing with an RR of 70+??



Thanks.



Jay Gordon 

  

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