Hi Jeanette,
At 02:32 3-9-00 -0400, you wrote:
>Also, though I am an RN, I am NOT an NICU nurse, nor am I listening to
>baby's hearts and lungs often enough to know what is normal or what is not.
>
I'm neither either, so I can relate to how you feel :-D.
>Now I have a situation that has me very worried, but I
don't know if it's
>my imagination, is this really normal and I hadn't seen it before, never
>noticed it before (I doubt it) or should I keep pushing this mom to get a
>FOURTH opinion???
>
The fact that you feel worried about this tells me that it's something that
needs to be checked upon. As a maternity nurse I've seen situations that
made me feel worried too. Every single time it came out that there WAS
something wrong with the baby. It seems that we have kind of like a 'sixth
sense' in these cases.
So my advice is: take your 'hunch' serious and don't forget that this
mother is worried as well. ALWAYS take those motherly feelings serious. So,
I want to compliment you on how you've handled this case so far!
HOpe the both of you will have an answer soon!
Regards,
Renate RIetveld, IBCLC
Rijswijk, The Netherlands
> the mom said
>she was a bit worried, he was "getting yellow", being difficult to
>awaken, I did note very
>fast respirations, and I asked mom about this.
>
I observed a feed:
> Baby would latch on pretty well, suck erratically, some swallows heard.
>Then he let go, respirations, which were getting faster and faster during
>the feed were now at 80 per minute (I counted the full minute, not just
>counted for 10 seconds and multiply). No signs of flaring of the nostrils
>or chest retractions, no signs of nose stuffiness. He would let go of the
>breast, start mouth breathing for 15 minutes or so, then go to nose
>breathing and the respirations would slow down to about 60. Never did I
>see any signs of blueness to lips, fingers, mouth, etc. Intake was .3 oz.
>
>
>How emergent is this? Am I being excessively concerned? It's just not
>something I've ever seen. Baby is gaining weight, mom is feeding often in
>these short spurts, but he seem to not be able to stay at the breast
>because he chooses to breathe through his mouth instead of eat (bright
>baby!).
>
>
--------------------------------------------------------------
Renate Rietveld, IBCLC
E-mail : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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