Hi Mandy,

Isn't amazing that something so, simple and low tech could be cause for 
concern. This IMHO is our best offensive move that can be used in response 
to a nurisng staff wanting to pump earlier and earlier, allowing these 
sleepy babies no recovery time no matter what went on during the birth and 
the never ending focus on "possibly becoming hypoglycemic". There probably 
is no EBP on this topic, but it certainly is a very practical way to 
proceed.

I'm sure the concern is regarding sleepy, mucousy babies that aren't really 
showing readiness to feed, but hey most nurses certainly wouldn't think 
twice about force feeding a bottle. Feeling cynical tonite!

LuAnn Smith RN, BS, IBCLC
York, PA



    In our hospital we have been giving small amounts of colostrum to babies 
with a spoon especially if babies are too sleepy during the 1st 24 hours.  
All of a sudden there has been some questions arise about using a spoon for 
feedings.  Does anyone have a policy or know of any documentation about 
giving colostum with a spoon.  I have checked the archives and mostly got 
just anecdotal information.
   Mandy Wendell R.N., IBCLC
   Tacoma, WA
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