I have continued to follow this thread when I have the time at the 
computer. I notice that there has been much speculation about the role 
medications might have played in this scenario.

While I would not rule that possibility out at all, I still think that one 
has to consider the possibility that this baby might have had a mucous 
plug that restricted his respirations and or the possibility that simple 
posiion at the breast was the culprit, or a combination of the two. 

I have personally had an experience with both such scenarios. Both of 
these happened in the immediate PP period. Thankfully, both parents and 
nurses were watchful and there were no negitive outcomes.

Mucous plugs are very common in those first few hours after birth. Also, 
if baby is not positioned correctly at breast (or even just in the 
parents' arms) and the chin in down on the chest, respirations can be 
restricted as well.

Personally, when I care for a mother/baby after birth, I want to see that 
baby, no matter who is hiolding,feeding, or whatever. You can still cover 
the mother for provacy and not completely put the baby out opf sight. I 
talk to the parents about color and the fact that we have to see this baby 
to watch for those color changes.

Betsy Riedel RNC, IBCLC
Connecticut

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