I am about to start a Breastfeeding Task Force at our hospital, tomorrow
at 8am to be exact!  Help!

This has been a frustrating week, once again.  One of our neos who is
usually a little better with breastfeeding would not let a mother nurse
at all due to a bili of 8 at 16 hours of age and 10.5 at 20 hours of
age.  The baby had to be under  the lights at all times.  This baby is
now 4 days old still in the hospital (bili is 16).  Mom is at home,
coming in as often as possible.  Yes, she is nursing, finally, but with
supplementation, of course.....grrrrrr.  Luckily this baby is nursing
like a champ.

Today I went in to speak to a mom, who failed at BF with baby number one
and is off to the same start with this one.  She was supplementing "to
be sure" the baby was getting enough.  (This is the same route she took
with baby number one, at her Peds advice)  In comes the ARNP from NICU,
who is looking after baby, since her Ped doesn't come to our hospital,
who firmly tells mom she HAS to continue to supplement since the bili is
9 (48hours of age)......grrrrr.  She also made the comment that if she
doesn't follow that advice the baby will get sick and have to be
readmitted. Here I am, thinking I had made some lead way with this mom
and now she is SOOOO confused she has no clue who she should listen to.

Any advice to offer, especially from the Drs ( Nancy W., et al....)  Can
we please clone you all??

Pam Hendrix, RN, IBCLC, ICCE in smokey S. Fla. (the everglades are
burning)

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