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Subject:
From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 4 Nov 1999 11:30:05 PST
Content-Type:
text/plain
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text/plain (45 lines)
Lizabeth, you ask "From what I have read, the baby should have as much
breastmilk as possible, especially if he has pneumonia.  Right?  If the
mother wants to keep her supply up she should be allowed to feed him
directly. Right?  If the hospital wants him to get better, too,  they should
allow mothers to feed on demand.  Right?"

Lactnuts, I bet ya'll are tired of hearing from me as I've posted alot this
day, but I must say:
Right, right, right.

Schedules: Yes, sometimes teaching hosps want parents out during rounds
becoz cases are being discussed and it is a privacy / confidentiality issue.
However, couldn't the mom be placed in a corner (even move the baby to the
farthest spot) and put a screen
around her to bf. We used to ask the parents to leave briefly as the babies
next to her were being discussed but the docs quickly move on and the
parents can come right back in. If it is a big unit, the parents can't hear
what is being said at the other end. Even better, could the baby and mom
room in on postpartum or pediatrics? Put them by the nsg station if they
need to be watched closely.

You say "Parents are very emotional and disheartened." Hopefully they will
speak up and say that this is unacceptable. Shake up the status quo. Banning
parents from their babies from 8a - 1p is barbaric. The whole setup and
philosophy of the unit needs to be re=evaluated. The parents demanding it
could just get it done. The AAP policy under Recommended BF Practices #1.
states that  "human milk is the preferred feeding for all infants, including
premature and sick newborns, with rare exceptions. The ultimate decision on
feeding the infant is the mother's." Therefore, the mother should state that
artificial feeding is unacceptable, that she is there to feed her baby
directly, and will provide expressed milk at nite if she cannot be there.
However, I vote for rooming-in if at all possible.

Laurie Wheeler, RN, MN, IBCLC - former (humane) NICU nurse
Violet Louisiana, s.e. USA

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