Dear Stacy,

snip...
"On the plus side, it has been decided that the first feed, breast or
bottle, will be observed by an RN or LC (of which I am the only one),
rather than instituting some arbitrary waiting period before first feed."

"Was this not the case already?  If baby is feeding within the first hour of
birth (recovery period), there should be an RN (even better if educated in
breastfeeding basics) in attendance one-on-one anyway, correct?"
...snip

What comes to my mind, having worked as a staff nurse in labor and delivery
for years. At the minimum, the first 5-10 minutes of every baby's first
feeding should be observed by a RN or LPN ... bottle-fed or breastfed.
Optimal is for the whole first feeding to be observed and
parents 'assisted' prn. Bottle-fed babies especially have some fast flow
and swallow issues and parents need to be taught to pace the feeding, or
assist the parents with baby's gagging, etc.
Observing baby's feeding and helping parents learn to observe baby's
feeding too is not a breastfeeding issue, it is an issue for all baby's
learning to eat.

Rachel A. Miller RN, IBCLC
in snowy south carolina

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