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Wed, 6 Nov 1996 12:47:40 +0000 |
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First feeding should be at breast! ASAP! Blood sugars drawn per protocol
for LGA (large for Gestational age) babies. F/U done in response to blood
sugar level, not in response to what MIGHT happen. Giving baby D5 or D10
isn't as logical a choice as colostrum or ABM, causes major ups and downs in
BS levels because it has no protein. Doesn't belong in a protocol for LGA
(or diabetic mom) babies. If the infant is unable to nurse at breast then
he is also (logically :) ) unable to have bottle, therefore IV is
necessary. The reverse of that is - if he can take a bottle, he can nurse!
With electronic scales the amount ingested is easy to figure. An aside,
I've noticed when moms pump first time, within a few hours of birth, they
usually get a decent amount of colostrum. Subsequent pumpings (same day)
don't seem to yield as much, until lactogensis slowly starts to increase
amt. Has anyone else observed this? I used to be a fanatic about getting
pumping started ASAP after birth if baby couldn't nurse. I figure it is
same principle of nursing early and often. I always tell moms that those
drops of colostrum are like liquid gold for their baby.
Pat Young in SNJ, USA
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