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Subject:
From:
Susan Keith-Hergert <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 17 Jul 1999 16:02:32 -0400
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Kathy, there is a RD, CLE attempting to do a research study on ECMO babies
and breastfeeding here in Cincinnati! There seems to be some very serious
oral aversion in ECMO babies...and she told me she would like to know why.
Some of those kids go home with G-tubes...simply cause they won't take
enough by mouth.

Interesting phenomena....seems to be not just related to noxious oral stim.
Because other kids with the same degree of such are not so difficult to
retrain.

I have observed a similar kind of oral aversion in some cardiac
babies....could it just be that feeding is too hard for them? I don't know.

Anyone else out there looking at this???

Susan Keith-Hergert RN, MS, CPN, IBCLC
Mercy Health Partners
Cincinnati, Ohio




Kathy Dettwyler <[log in to unmask]> on 07/17/99 12:37:15 PM

Please respond to Lactation Information and Discussion
      <[log in to unmask]>

To:   [log in to unmask]
cc:    (bcc: Susan J Keith-Hergert/MGCR/CHP)

Subject:  Depressing A&E program




I just watched an interesting, but depressing, Arts and Entertainment
network show called "The New Pioneers."  This one was about a NICU doctor
who has had great success saving babies' lives who had heart and/or lung
problems by putting them on a machine called ECMO (extra-corporeal membrane
oxygenation) -- basically a heart/lung bypass machine.  They talked about
how a child's chances of survival improved from less than 10% without the
machine to 80% with the machine.  Amazing technology, cool that babies
lives
can be saved . . . .
However, there was no mention of breastfeeding, one scene of a baby getting
"special nutrients" through a catheter into a leg, one ECMO baby who dies
of
"a severe intestinal infection unrelated to the ECMO procedure" (I assume
that was necrotizing enterocolitis, which might have been prevented with
breast milk), no mention of the moms pumping, and one scene at the end
where
the older sister of a now-doing-well baby is shown holding him and giving
him a bottle while the surgeon crows "There, now you've learned how to feed
your baby brother!"  These babies need breast milk and breastfeeding, and
their sisters need to learn that babies are fed at their mother's
breast!!!!
Kathy Dettwyler
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