Hi Kathleen & Phyllis ~
I would love to see the hospitalist or management provide research that
supports introducing the airway threat of bottle-feeding (with "free"
too-fast-flow nipples) a risky foreign substance to a newborn infant. Why do
we always feel we have to support practices that provide a healthier product
in a safer manner?!? What exactly about the method did the hospitalist
question and exactly what is management concerned about that it requires a
protocol? (Does the hospital unit have an evidence-based "how to" re:
bottle-feeding protocol? If not, management should be more concerned about
that!)
Stanford School of Medicine does have a basic protocol that includes spoon
feeding available at
http://newborns.stanford.edu/Breastfeeding/PMGs.html#nolatch
Also, see: Hoover K (1998). Supplementation of the newborn by spoon In the
first 24 hours. *J Hum Lact, 14*(3), 245.
The Academy of BF Medicine Protocols(
http://www.bfmed.org/Resources/Protocols.aspx) #1 Table 5 gives info re:
feeding specific amounts of colostrum and #3 has a mention of spoon-feeding
as does #7 (p.174 - #13). Perhaps #7 would be a good one for management for
many reasons!
If it can work for this group, would think it would work short-term with
colostrum for term infants: Kumar A, Debas P & Singh B (2010). Spoon feeding
results in early hospital discharge of low birth weight babies. J Perinatol,
33(3), 209-217. Abstract at http://www.ncbi.nlm.nih.gov/pubmed/19710677
Hope this is useful in some way!
K
> Date: Sun, 20 Feb 2011 09:19:48 -0500
> From: Kathleen Gale <[log in to unmask]>
> Subject: Research on Spoon feeding colostrum to newborns
>
> Hi! I started working as a hospital IBCLC about 9 weeks ago. When a newb=
> orn in the first 12 to 24 hrs of life is not latching, I have found the m=
> ethod taught by Jane Morton MD of the Stanford School of Medicine to be m=
> ost helpful. I teach mothers to do STS of course, but also have them do =
> hand expression and feed the colostrum to the baby every hour or 2. This=
> seems to make an amazing difference in waking up the baby, probably uppi=
> ng the blood sugar, and it is usually not too long before the baby will s=
> tart breastfeeding.
>
> A hospitalist was questioning this method, and asked if I have any resear=
> ch to back it up. I have the video and website information from Jane Mor=
> ton, and the ABM protocols mention using this method, the WHO, etc...but =
> I am haiving trouble finding actual research articles. If anyone can hel=
> p me out on this--my time for searching for these kinds of things is so l=
> imited--and nil at work, as I don't have a computer for this type of work=
> .
>
> Appreciate your help!
>
> Kathleen L. Gale RN, IBCLC, RLC
> Chicago, IL
>
> ***********************************************
>
>
> Date: Sun, 20 Feb 2011 09:09:33 -0700
> From: Phyllis Adamson IBCLC <[log in to unmask]>
> Subject: Re: Research on Spoon feeding colostrum to newborns
>
> Same here. Would love this info.
> Mgmt wants a Protocol with references on Spoon Feeding before permitting
> the practice.
> Phyllis
>
> ---- Kathleen Gale <[log in to unmask]> wrote:
>
> =============
>
> --
> Phyllis Adamson, BA, IBCLC
> Glendale, AZ.
> [log in to unmask]
>
> ***********************************************
>
>
--
Karen Gromada
www.karengromada.com/
***********************************************
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