Hi Everybody,
I am chiming in very late because I only got to lactnet today. This
subject has me very upset lately. I have been a PPLC for the past 12
years. I used to joke that I had the hospitals to thank for having work. A
few years back I studied for my RN and began working in a maternity ward.
The ABM is flowing like a river in our department, despite a so called
commitment to encouraging breastfeeding.
First of all, babies and mothers are separated at night from 11 pm to 5 am.
Mothers are encouraged to get some sleep while we take care of her baby -
meaning that we artificially feed the baby. I personally encourage the
mothers to get up and breastfeed but I also understand how hard it is to
get up at night, walk to the nursery, take the baby to the nursing room to
nurse in a chair, put baby back in the nursery and walk back to your room -
only to be called back to the nursery because baby was actually just
resting and now rooting again - and all this a few hours after giving
birth. Many mothers choose our department over the 24 hour rooming in
department, specifically to sleep at night instead of nursing at night. Of
course babies cry regardless of how they are fed since they are not with
their mothers and the whole set up is just not right. (and not about to
change)
Another reason that so many mothers will choose to supplement in those
first few day is because (of course) they don't have any milk yet. How a
single baby survived before the advent of ABM is a mystery. I spend a lot
of time on colostrum being - in quality and quantity - exactly what your
baby needs right now and sometimes it works but then when the baby gets 20,
30 or more MLs of ABM at night or "just to be on the safe side" - the
mother is convinced that these are the amounts that the baby needs.
The abm is available in 70 ml bottles, in a heater, with your choice of
super fast flowing nipples. Mothers can take as they want. Most of the
nursing staff seems to see it as a good thing - like this is a baby that we
don't need to worry about - we *know* how much he's getting. On the other
hand - breastfeeding is encouraged and a large percentage of nurses on the
staff have passed a course and intense exam (based on the IBCLC) on how to
help women breastfeed. Its like no one is ready to see that bottle feeding
can get in the way of breastfeeding and certainly not that ABM could have
any negative health effects (and yes they have been shown the "just one
bottle." )
The amount the baby is given is also upsetting. I have been trying to stick
to the amounts mentioned in the Academy of breastfeeding medicine protocal
for supplementing but no one else does and in fact when I looked up how
much a bottle fed baby should be fed in the first 2 days - the sites I
found all said an ounce or two (30 - 60 MLs) a feed! And with all that we
know about stomach capacity, I have been dismayed to find that babies will
easily eat 30 ccs on day 2 with no problem or visible discomfort.
Any input of any type would be appreciated. Its so frustrating to be part
of the problem!
All the best,
Chayn Fogelman IBCLC, RN, Jerusalem Israel
On Tue, Oct 13, 2015 at 4:47 AM, Eva Hoebee <[log in to unmask]> wrote:
> /Hi Pat
>
> In Australia we use different measurements. For example our babies need
> to have a BGL of > 2.6, in babies with birthweight of >4kg for three
> measures. If the nurse is concerned with a baby's feeding, output etc. she
> would consider a BGL reading to confirm there are no issues. But definitely
> NOT willy nilly!
>
> Eva Hoebee
> Australia
> /
>
> On 10/11/2015 9:29 PM, Pat Young wrote:
>
>> I think part of the problem is obsession with glucose levels. Old
>> research shows that babies with levels of 30's and no sx do OK in first 24
>> hours. Then the standard became 40 and now it is 50.!
>> A spoonful of expressed colostrum should be the standard supplement if
>> anyone is concerned about the glucose level, but good grief that isn't
>> scientific enough! Some one please do a study!!! Pat in SNJ
>>
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