Just a case study of 1. Baby born at 35 weeks 4 days ago, weighing 4#14oz. Spontaneous ROM labor and delivery. Mom able to hand-express colostrum. Baby skin to skin continuous. No temp decline. Mom taught self-latching in reclined position. Baby latches but falls asleep quickly. Mom taught to hand-express colsotrum obtaining approximately 1 cc increments. Taught to syringe under baby's tongue with the logic that we use nitro and glucose tabs directly under the tongue not swallowed for immediate access to bloodstream. Mom instructed to deliver every 2 hours hand-expressed colostrum under the tongue and nurse as needed. At 48 hours, no blood sugars below 60, bili of 8, 5% weight loss. Moms started pumping next day after delivery. At discharge (Day 3), mom's milk in, baby's weight back to birth weight, bili of 10, glucose WNR, breastfeeding. Mom sent home with syringe and tube for makeshift sns if needed, follow-up outpatient appointment. 3 other babies born same day, similar circumstances all gone to NICU for IV's etc. This is only a case of 1, but the docs are pretty impressed and so are the nurses. You think we can get a paradigm shift here?
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Sam
Sent: Monday, November 03, 2008 11:36 AM
Subject: Re: Formula vs Glucose Water?
I'm wondering about the initial sugar rush and the eventual drop of blood glucose with the administration of glucose water. Glucose is the standard to which glycemic index is measured. Glucose is 100. Anything else is compared to the glycemic index. The higher the glycemic index, the more insulin is released to store the energy, and the higher the response swing. For example, oatmeal would measure 61, instant rice 87, brown rice 55, and whole cow milk 27. Wyeth formula is 36 +/- 6, and human milk is ??
My thoughts are that formula would have at least some less digestible form of carb that would prevent a blood glucose spike.
Probably not what you were expecting to hear from me... but it may be why things are thought of how they are!
Best wishes,
Sam
< My question is... would glucose water or sterile water be more breastfeeding friendly than infant formula for the situation where mom is overwhelmed and demanding supplementation (usually around 2am). >>
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