I took the S.T.A.B.L.E. course five years ago when working in a small
hospital.  My understanding was that it was focused on "sick" newborns who 
were being prepared for transport to a tertiary facility.  I quote from the 2001 
edition of the Student Manual:  "Purpose of the S.T.A.B.L.E Program:  This 
program is designed to help health care providers organize care during the 
post-resuscitation /pre-transport stabilization period."    In the section on 
SUGAR (page 6) under general guidelines the first principle states: "Any baby 
sick enough to need transport is generally too sick to tolerate oral feedings."   
Additionally, on page 9 where hypoglycemia is defined there is a quote from 
Cornblath and Schwartz's 1993 study of "Hypoglycemia in the Neonate" which 
states "...in healthy newborns slightly lower levels are usually accepted in the 
first 24 hours- to as low as 40 mg/dL (2.2 mmol/L)." 

While I realize this is "older" material and there may be updates with newer 
information it seems that somewhere the info from the course was translated 
as appropriate for all newborns, not just "sick" ones.  

Betsy Cornwall, RN, BS, CCCE, IBCLC 

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome