In a message dated 4/2/2005 12:06:15 A.M. Eastern Standard Time,  
[log in to unmask] writes:
 
"Breathing difficulty so he is under the O2 hood with
respirations  fluctuating between 60 and 80.  Two of the nurses stated that
they give  these babies a bath to encourage crying and open their lungs . . . 
 I have  read that there is no physiological benefits to crying. In fact it 
is documented  that crying can be harmful in some cases."
 
Gene Cranston Anderson has done a lot of research on crying in the newborn  & 
it is NOT a good thing. If you do a search with her name, you will find  lots 
of good information about the newborn. Please give these nurses some of her  
work--they need to be updated (educated).
 
I have worked nursery & Level 2 NICU  (over the last 36 yrs.) ---  We do not 
give infants baths if they are stressed. We make sure that they are  stable 
before a bath is given. The cooling effects of a bath could cause further  
distress. These nurses must be old! --this is something that we used to do many  
years ago, but we have better information today.

Also, I  was told a baby can't breastfeed until resp. rates are 60 or
below.   Is this true? 
We often have the nurses/docs send babies out to mom to feed when  RR is 
60-70 & no signs of resp distress. you have to assess the whole  baby, not just 
one thing. Maybe the baby is active & hungry, looking for  food (mom) & that's 
why his RR is slightly elevated. Breastfeeding is not  harmful for this infant.

 
 
 
Laura Hart, RN, BSN, IBCLC
Winter Park, FL

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