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This is one of those guidelines that I choose to ignore. My daughter had
major neurosurgery (9.5 hours) at four months of age. The MD told us NPO for
four hours prior to surgery. My thought was that by the time we got to the
hospital, got her prepped etc. her last feed with me should be about the same
time as when we physically entered the building. So I nursed in the parking
lot with my husband yelling at me that it was against the "rules". Who would
know? And what is the reason for NPO prior to surgery? Aspiration. She was
going to be on her stomach the entire surgery and for the next three days.
As it turned out, she didn't nurse again for almost 24 hours, poor baby. I
have always been glad that I decided to "break the rules" on that one.
Christie Pillado
El Paso, TX
In a message dated 5/30/2005 10:26:14 A.M. Mountain Daylight Time,
[log in to unmask] writes:
Date: Mon, 30 May 2005 11:27:19 EDT
From: Chris Betzold <[log in to unmask]>
Subject: anesthesia and NPO and Human milk
When my son was 2 years old I was told NPO after midnight by the surgeon.
When the anesthesiologist called me. I informed him I was still breast
feeding
and that I was aware of the new guidelines for human milk and it was changed
to NPO for 4 hours. I currently work at a Childrens' Hospital. Sadly, NPO
after midnight is still the standard. There are so many issues to improved
but
this is on the agenda. If there are JACHO guidelines this will help us move
it
along. Yet, my story shows that an informed mother can make a difference.
Chris
In a message dated 5/29/2005 9:01:34 PM Pacific Standard Time,
[log in to unmask] writes:
While the below makes sense, I have now been at two children's
hospitals with my son where the exact opposite is hospital policy.
Sedation is 6 hours no breastmilk. Endotrachial anesthesia is 4 hours
no breastmilk.
For one emergency surgery, they did treat breastmilk as a clear fluid
and allowed 2 hours.
Katie Bredbeck
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