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From:
"Fritzi E. Drosten" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 18 Oct 1997 01:59:56 -0400
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This is a little late for this discussion,  but I have been busy.
I  am impressed with the recommendations by Dr. Powers and Slusser in the
"Breastfeeding Update 2 :Clinical Lactation Management" from Pediatrics in
Review Vol. 18, No 5, May 1997. They state "the healthy full-term infant
needs nothing more than breastfeeding. For healthy term infants , situations
that do not warrant supplementation include: A sleepy baby who has few
feedings in the first 48 hours....." etc. They do not specify anything in the
first days beyond this, except that they talk about the first hour being a
time when initiating breastfeeding is most successful, and that 37 weekers
and younger bear closer observation.
They state that it is normal for the baby to  show little interest after this
time for the next 24-48 hours.
I take from this that we should assist to attempt to feed as baby's interest
indicates, and not to worry unless risk factors or symptoms are present.
Mother should be assisted to assess and evaluate her infant's behavior.  We
don't want her to miss opportunities, and we ( as LC's)  need to evaluate the
infant closely.
I find that they feed remarkably well when they are ready, but I also find
that many mothers don't know how to put a baby to the breast, and
consequently a feeding may be inadvertently missed
Fritzi Drosten RN, IBCLC
Oakland/Piedmont, CA

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