Please help! I need information on the following topics in preparation
for a meeting on Monday, 11/23. At a discharge planning session, our neo
NPs will be discussing discharge of premies at 1500 gm, with home care
follow-up. I understand it's being done in some areas. I need to know:
*       is discharge at 1500 gm becoming a commonly accepted practice?
*       what are the discharge criteria?
*       what sort of support is offered and are insurance companies paying for
it?
*       is lactation support included?
*       is it successful/safe?

A sidebar to this is a NIH study showing at nipple confusion does not
exist and/or that premies will simply begin to suckle 'when ready,' no
matter how they are supplemented in their early p.o. feeds. Does anyone
know of this study and where it is published?
This info is being used to support an idea that babies don't need support
to BF, so bottle feeds in the hospital are fine and even preferable: it
gets the food in faster, the weight on faster, and the baby home sooner.

Please e-mail me privately, as I often can't get through lactnet posts.
TIA

Kate Strachan, MSN, RN, IBCLC
High Risk Maternal/Infant Care, Lactation Services
University Hospitals of Cleveland

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