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Subject:
From:
Leslie Wolff <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 4 Jan 2011 19:35:12 +0200
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Dear Friends
Lately we have been trying to work out a policy concerning breastfeeding for the Late Preterm Newborn.
Even the experts do not totally agree about what should be done the first few days in the hospital and also beyond, when the baby does give  the impression that he is breastfeeding well.  Some experts say: Don’t trust the infants ( “The great pretenders”)– they LOOK like they are feeding well, but they are not as energetic as the full term, and in the long run the mothers' breasts don’t work hard enough – there may be engorgement and later on low milk supply- and delay in weight gain.   So: breastfeed for a limited time , give expressed  milk as supplement and pump – every three hours.  Other experts say: breastfeed, pump – but don’t give as supplement – so the baby will wake up himself to eat more.   And My biggest question is – when do these late preterm ( 35-36+ week old) babies HAVE to eat during the first few hours after birth.  If we do Skin to Skin, and let the baby have time to breastfeed with his mother ( leave them s2s together at least a full hour if not two) but the baby/mother  for some reason ( and there are many of course..) do  not breastfeed -aren’t capable of breastfeeding during those first two hours immediately after birth- and we don’t succeed in getting expressed milk for him withing the first few hours -  when do we say : no choice, he has to get some food inside of him, even if it is formula….?? - Taking in consideration that we do a few glucose blood tests also... 4-5-6 hours after birth?  As much as we desire to have the baby first get colostrum into his body..when does FEED THE BABY come first during the first few hours after birth for the Late Preterm?  I would very much appreciate your input about these questions.
CLOSE TO THE HEART, Leslie Wolff, Israel  IBCLC

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