About 10 years ago, a pediatrician referred a 3 wo baby who was having wgt gain/feeding issues. This baby stopped breathing and became unresponsive at the breast. Upon arousal - the baby started breathing then again stopped - I provided artificial respirations until the squad arrived. This baby was in heart failure before my very eyes. He ended up having a large septal defect and was in the OR within hours and survived thank God. When I called the peds, she said to send the baby back to her office of which I responded , "No, this baby has gone to the nearest hospital via EMS!". As we know, feeding issues along with other things can be cardiac related. I have had babies with apnea, peri-oral cyanosis and the like. I have had mother who were quite ill show up as well, some who needed to be hospitalized. In private practice especially, even with a good phone pre-visit assessment, you never know what may come through that door. Never assume that everyone who has seen this baby or mother before you has done a completely thorough job - your assessment is equally as important and vital. Many of us have picked up on issues that were missed - quite often I may add. So, not to mention good assessment and exam skills, but yes, CPR training is necessary for anyone working with babies and adults. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome