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Subject:
From:
Nikki Lee <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 20 Jan 2006 13:51:49 EST
Content-Type:
text/plain
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Dear Friends:
    There is a baby in a NICU who is term, 10 pounds, and  was delivered by 
cesarean section after he failed to descend. Labor was  spontaneous. Turns out 
the cord was wrapped around his feet and legs.
    He has RDS, and possible pneumonia. 
    He went s2s today, and immediately dived for the  breast. His saturations 
stayed in the 94-100% while he was s2s. He would latch  on and suckle for 30 
seconds, and then come off and breathe hard until he'd  caught up his oxygen 
level, then he'd dive back to breast. His respiratory  rate at best is in the 
60s; in between bouts of breastfeeding it was in the 70s.  It is obvious that 
he is working hard to breathe.
    The PNP and nurses in the NICU said that  breastfeeding was too stressful 
for him, that he would have to be bottlefed  because it is easier.     
    I was amazed at seeing this big baby boy, one day  old, be so vigorous 
and  have such trouble breathing. I know that  big babies can get into serious 
trouble. I also know, having taught his parents  childbirth class, that they 
intend to breastfeed and I want to do everything I  can to help them achieve 
this goal. I discussed gavage feeding with the mother  as another option. This 
boy won't be fed anymore for at least another day.
    Now for my question: the staff said that Meier's  work showing that 
breastfeeding is easier was all done on well premies. As this  boy is sick, that 
research doesn't apply. Dr. Wight? Anybody? What does the  evidence say about 
this?
    I also don't understand why it is alright for him  to suck on a pacifier 
but not the breast.
    warmly,
 
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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