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Date: | Tue, 25 Nov 1997 13:39:09 +1100 |
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Dear Lactnetters I made some notes for my Course for tomorrow and thought I
would share some news from 3 major teaching hospitals I have taken out the
names for privacy purposes.
NOTES FROM 25/11/1997 phone calls
Hospital 1
Michelle LC NICU Ex student
1 ml by 4 hourly
1 ml by hourly 2ml hourly 3 ml hourly
Oral toleration
Then human milk fortifier to bring up from Cal of 20 – 24 calories aware
of delayed emptying
Many of these babies also have SGA IUGR
FOLLOW UP SUPPORT
Postnatally ring up
Refer to NMMA
Ring MMC any time
No liaison
CUP FEEDING
H mm ……Sometimes
Resisted by doctors and staff
Human milk banking may be implemented soon
KANGAROO CARE
Earliest 29 weeks if seeking
33 weeks 35/36 weeks usual
Tube bottle rarely cup then breast
ANECDOTE
26 weeker rang up to state that she needed help in weaning but went on to
18 months initially did not want to breastfeed
Hospital 2
Carolyn
NICU
Is first public hospital to achieve BFHI
Kangaroo cuddle with ventilators
If seeking may be drips milk
Milk fortifier up to 1500 grams
If the mother insists on no bottles then we offer cup
LIAISON
Ring for support
Setting up this week "Hospital in the Home"
Previously domiciliary care
Hospital
Heather Educator
Judith mothercraft
Cup feeding 150 staff in NICU attending continuing ed. has 9 to go
resistance strong but getting there Lots of interesting stories about
resistance to idea of
cup feeding
Comment from HH
"Mother is lactating for 7(Septuptlets) not trying to breastfeed 7"
HOSPITAL 3
Going for BFHI
Pam in NICU Ex student
Anita and Keri LC for hospital 90 % initiation
Kangaroo care the norm
cup feeding the norm
Pam nicu - Cup feeding is almost normal offer instead of bottle
Simon and Andrew Med Reg very proactive
Turned breastfeeding around
32-34 weeks sometimes tries earlier
resistance from nursing staff
oral breastmilk almost with first hour of birth even with littlies
Liaison in scn
Has reservations about fortifier knows about delay
Adelaide have a study going on cup feeding for 12 months
Hospital 3 will join study
Beverley Walker
Melbourne Aus
ANECDOTE.
2-3 women refuse to provide breastmilk in the last few years one with
implants, one needed to smoke.
ANITA ex student hospital LC
Cup feeding accepted and almost the normal
Liaison domiciliary 3 in team half IBCLC
visit the home from hospital
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