Dear Kris,
I adapted an article from an older Journal of Human Lactation for this purpose. Please contact me at my personal email [log in to unmask] and I will be happy to share it with you.
Cindy Garrison BS IBCLC
practicing in Pittsburgh, PA
> On July 3, 2018 at 12:00 AM LACTNET automatic digest system <[log in to unmask]> wrote:
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> There are 4 messages totaling 128 lines in this issue.
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> Topics of the day:
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> 1. Lactation care and support after fetal loss
> 2. Fetal Demise Information Sheets
> 3. Blood Glucose protocol right after deliveries/c/sections
> 4. decreasing transfers to NICUs with S2S
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> Date: Mon, 2 Jul 2018 07:28:16 -0400
> From: "Kris Kiley, RNC, IBCLC" <[log in to unmask]>
> Subject: Re: Lactation care and support after fetal loss
>
> Does anyone have a good resource to help hospital staff/providers explain Fetal Loss/ Demise to families, specifically breast milk but any general information. We are looking for a resource to help parents and/or Healthcare Professionals be better prepared for what to expect. Thanks so much.
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> ------------------------------
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> Date: Mon, 2 Jul 2018 07:36:42 -0400
> From: "Kris Kiley, RNC, IBCLC" <[log in to unmask]>
> Subject: Re: Fetal Demise Information Sheets
>
> Hi Katy,
>
> I was wondering if you have created an information sheet on Fetal Loss/stillbirth for parents or healthcare providers including IBCLCs. We are looking for all resources on this, but specifically on milk production and management. Thanks so much. Kris
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> ------------------------------
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> Date: Mon, 2 Jul 2018 20:21:01 -0400
> From: Attie Sandink <[log in to unmask]>
> Subject: Blood Glucose protocol right after deliveries/c/sections
>
> Jacqueline and others
> I realize the criteria as you mentioned and we have one more added on to that for babies born to moms who are on anti hypertensive drugs. I did not mean just because they had a c/section. Our protocols usually say 2 ours after birth if they fit the criteria whether it be vaginal delivery or c/section. But is there any good recent research how much milk whether it be breastmilk, formula or colostrum needs to be given?. I keep seeing a full ounce being given and sometimes more so that they get the sugars up to prevent starting an IV. and that amount two hours after birth and already bases on the body weight. Is that a correct tool or is that a formula based tool?
>
> Attie Sandink RN, IBCLC, CLE®
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> ------------------------------
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> Date: Mon, 2 Jul 2018 22:20:21 -0400
> From: Attie Sandink <[log in to unmask]>
> Subject: decreasing transfers to NICUs with S2S
>
> Thanks for that link Niki.
> That was done and baby still went to NICU after the hour of skin to skin and still SGA and booked early because of previous still baby. However even though baby was not stable it was gavage fed over 1 ounce of formula and given the milk mom had expressed at home. Sadly baby had a phnemothorax and transferred out to Toronto and only needed to stay 2 days but mother said they never forced her to have that much formula again and besides her milk came in when baby stabilized in 24 hours. Totally different hospital who let her breastfeed during the process of gavage feeding and than total feeding with smaller amounts. This is why I am looking for research on amounts needed to truly bring up BS. So much formula on an open gut and to a sick baby makes me cringe.
>
> Attie Sandink RN, IBCLC, CLE®
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