Hi Kathleen
Would it help to think about this in terms of "If X does not happen, then
Y"? For example, If baby is not placed directly onto MOM's abdomen at the
moment of birth, do it now.  If mom used pain relief during labour,
encourage 24hr s2s.  If baby has not attempted to feed within 2 hrs of birth
(and after 2 hrs of S2S), place naked baby on mother's chest.  If baby does
not feed, leave baby on mother's chest and teach Marmet Technique - feed
colostrum to baby on a spoon.  Repeat this procedure hourly until the baby
is able to attach and feed. 
I don't have such a flow chart, sorry. I wonder if it would help to give
such a tool directly to the mothers.  That might help them to take the power
back.
Cheers
Nina Berry
Australia


-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Kathleen Salisbury
Sent: Saturday, January 05, 2008 12:27 PM
To: [log in to unmask]
Subject: Hospital Breastfeeding Algorithm

Hi Everyone,

My supervisor has asked me to put together a flow-chart or algorithm of
normal breastfeeding management in the first days of life.  I'm finding this
difficult as there is such a wide range of normal breastfeeding patterns,
behaviors, etc. in mothers and babies.  She wants something that a student
nurse can easily follow, ie: "if X happens, now do Y."

Does anyone have a such a flow-chart already in place that they would be
willing to share?  I'm just looking for ideas and maybe some input as to how
detailed this should be.  I'm finding it hard to put a normal biological
function like breastfeeding into a rigid flow-chart.

Quick background, I am a non-RN IBCLC working as the sole lactation
consultant (.6 FTE) in a small community hospital (80-90 births a month) in
suburban/rural Washington State, USA.

Any help would be greatly appreciated!

Thank you!

Kathleen Salisbury, IBCLC

            

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