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Date: | Wed, 5 Jan 2011 09:20:27 -0800 |
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www.cpqcc.org/documents/255/download
Trying to post link to the ABM's protocol 10, Breastfeeding the Near-Term
infant.
These guidelines have been helpful, esp. the amount of supplementation
suggested.
A 34-weeker is very different from a 37-weeker, also.
Many times in our hospital, that late-preterm infant is a multiple, with another
set of challenges!
I definitely feel "under the gun" when taking these little ones to recovery
after mom's c-section, just praying they will nurse. Often using manual
expression from the get-go to get a few drops in ASAP.
________________________________
From: Leslie Wolff <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, January 4, 2011 12:35:12 PM
Subject: Late Preterm Newborns
Dear Friends
Lately we have been trying to work out a policy concerning breastfeeding for the
Late Preterm Newborn.
Even the experts do not totally agree about what should be done the first few
days in the hospital and also beyond, when the baby does give the impression
that he is breastfeeding well. Some experts say: Don’t trust the infants ( “The
great pretenders”)– they LOOK like they are feeding well, but they are not as
energetic as the full term, and in the long run the mothers' breasts don’t work
hard enough – there may be engorgement and later on low milk supply- and delay
in weight gain. So: breastfeed for a limited time , give expressed milk as
supplement and pump – every three hours. Other experts say: breastfeed, pump –
but don’t give as supplement – so the baby will wake up himself to eat more.
And My biggest question is – when do these late preterm ( 35-36+ week old)
babies HAVE to eat during the first few hours after birth. If we do Skin to
Skin, and let the baby have time to breastfeed with his mother ( leave them s2s
together at least a full hour if not two) but the baby/mother for some reason (
and there are many of course..) do not breastfeed -aren’t capable of
breastfeeding during those first two hours immediately after birth- and we don’t
succeed in getting expressed milk for him withing the first few hours - when do
we say : no choice, he has to get some food inside of him, even if it is
formula….?? - Taking in consideration that we do a few glucose blood tests
also... 4-5-6 hours after birth? As much as we desire to have the baby first
get colostrum into his body..when does FEED THE BABY come first during the first
few hours after birth for the Late Preterm? I would very much appreciate your
input about these questions.
CLOSE TO THE HEART, Leslie Wolff, Israel IBCLC
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