The law is the same here in VA, we have found that having mom hold the baby
during the test works wonders to calm the baby, also have done many a test
with the baby breastfeeding, We use the Natus machine for hearing tests. If
mom holding baby doesn't work, we let baby suck on a gloved finger for a few
minutes if we have to , in order to complete the test. We have also found
that doing them after the initial bath when the baby is 1-2 hours old is a
good time.
We use a sugar solution for the babies with circs too, the breast babies, we
use a periodontal syringe to drip it in the babies mouth prior to the
procedure, bottle babies, we use a pacy or the same syringe method and this
works well
Take care
Cindy
Cindy Curtis RN IBCLC
mailto:[log in to unmask]
http://www.breastfeedingonline.com
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Jeanette Panchula
Sent: Thursday, January 05, 2006 3:40 PM
To: [log in to unmask]
Subject: [LACTNET] Baby Friendly and pacifier use
I know this is "beating a dead horse" (pacifier use), but I've been asked to
address two questions that I would like to have your input on, as it relates
to Baby Friendly Hospital requirements:
1. In California, by law, EVERY baby must be offered a hearing test. Most
parents agree, and it is done away from mother using headphones. The
quieter the baby, the quicker the test - so they use pacifiers to keep the
baby quiet and complete the test as quickly and effectively as possible.
2. Most circumcisions in our state are done in the hospital, as the
insurance will often cover it at that time, but not once discharged. Again,
a pacifier is used (this time dipped in sugar water).
So how can these two uses of the pacifier be addressed when trying to meet
the requirements of Baby Friendly's #9 (no bottles or pacifiers)?
Would having a handout explaining the reasons for this very limited use of
the pacifier and recommending avoiding its use at least for the first 4
weeks (PLEASE let's not get into the new AAP recommendations - I had to
address those already!) qualify as "giving information on the risks
associated with pacifier use"?
Also...PLEASE - I don't want to get into a pro/anti-circumcision debate...
Thanks for your input!
Jeanette Panchula, BSW, RN, PHN, IBCLC
California, USA
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