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Date: | Mon, 10 Jun 1996 02:37:16 -0400 |
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Lisa,
I worked as a night shift postpartum staff nurse with a baby who did not want
to suck. The baby rooted AWAY FROM the breast and only with a great deal of
encouragement would nurse, resting frequently. He was only a few hours old
when I began working with him. His mother was quite young but extremely
patient, holding him skin to skin. talking to him, and gently encouraging him
to eat. The baby had had a very rapid delivery and had a bruised face. He
also had somewhat bluish arms and legs, not always a real problem in the
first few hours of life. Every time I went to the nursery to report on how
baby was doing at breast, I mentioned my concern about the baby's unusual
behavior at the breast. I thought perhaps he was just somewhat disorganized
from a traumatic birth.
When the physician arrived in the morning, he ordered capillary blood gasses.
The baby was diagnosed with persistent pulmonary hypertension and was soon
in 90% oxygen. He did well, but it was a reinforcement to me to look at the
whole baby and not just the feeding.
The baby you describe MUST be seen by a physician who will listen to what is
happening. Have you called the physician yourself? I would document
everything thoroughly now if you haven't already using a "late entry."
(Better now than later.) Be sure you have mom's permission to share
information, and call the physician expressing your concerns. Bonnie Jones,
RN, ICCE, IBCLC
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