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Date: | Thu, 18 Sep 2008 15:36:51 -0400 |
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Dear Marla,
Not only is it frustrating it is impossible to get a baby to latch with a belly full
of ABM. They go into a coma practically. Do a little research on what amt a
baby's stomach capacity is and tape it to the formula cupboard. Inform staff
that if they "must" supplement 5 - 10 cc's is plenty for a newborn who by
hospital protocol "must" have a supplement ie (hypoglycemia) if the mom has
not pre-expressed any colostrum to bring with her. No supplementing in first
24 hours is written write into our crib cards, along w/s/sx of hunger cues.
Babies are just learning to live outside the womb and are coordinating
suck/swallow/breathing. As well as looking into moms eyes and doing lovely
imprinting on her face. I tell the moms that this is just as important as
feeding in the early hours/day. I have done a lot of research and have the
graphic display on the formula cupboard on how much is
necessary "necessary" to some pedi's, not all, if they insist on topping off, or
the mom is convinced she doesn't have milk yet. so frustrating. Soon we will
have no more formula, as we are going baby friendly. Use some sites like
www.abfmed.org as the doctors tend to respect this site, written for docs by
docs. You will find lots of information on issues like jaundice, low blood sugar,
and other topics which can help your hospital become up to speed on some of
this stuff. If you have any specific questions e-mail me off list. Keep fighting
for those moms and babies. Use evidence based research, it is hard re-
training an old dog to do new tricks, but it can be done.
I would also consider re-writing your hospitals breastfeeding protocols. Now I
have a source to present to staff who insist on feeding babies more than they
need and driving away the desire to suckle. Include skin to skin information
and show the data that babies who are put to skin immediately require less
intervention. s/s provides warmth, regulates respirations, keeps blood sugars
up , babies cry less and often initiates the baby to start to look for moms
breast. But keep them together for hours not just a few minutes. Do you
practice rooming in? I hope so...
best,
robin
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