Lisa,
Thank you so much for sharing this with me on this
list. It brings to mind a few positive things from
the recent past. Maybe it did this for more people
than me, and we can all use positive news once in a
while. I hope those nurses and HCP know how much they
are appreciated in giving out the correct advice.
Maybe bring it up at a ward meeting (staff meeting) so
all your staff will know!!
Theresa Johnson
Heidelberg Germany
--- [log in to unmask] wrote:
> Just thought I would describe a situation that I
> assisted with last week. I
> think it shows that there can be some changes, even
> if they come slowly. Mom
> delivered at 34 weeks, although baby seemed older,
> and tested older. Mom was
> in my prenatal breastfeeding class. Baby latched in
> delivery room and
> subsequently on postpartum.
> On day of life 1 became very sleepy with very brief
> attempts at latch. The
> nurses contacted me to work with her, but started
> her pumping before I got
> there. They encouraged the mom to put baby to breast
> striving to get him
> there at least every 2 hours, sooner if the baby
> seemed hungry. Bilirubin was
> elevated, baby left in mom's room with wallaby for
> phototherapy. We continued
> putting baby to breast then had mom pump as the baby
> really was not doing
> anything at the breast. Mom's choice was to give the
> milk by bottle, but the
> nurses discussed with her all of the options,
> fingerfeeding, cup, and spoon.
> Bili was further elevated, warmer and bili lights
> rolled into mom's room.
> Formula supplementation was discussed, but the pedi
> felt mom was producing
> plenty and that we could just use that for
> supplementation, about
> 25cc/pumping. Baby became more awake, better at
> breast, we still had mom pump
> to encourage supply and gave some by bottle as baby
> was not stooling. By day
> 3 milk was in, baby started stooling, bili dropped,
> and baby at breast. Baby
> went home day 4 (mom C/S), on the breast. Baby then
> readmitted for increased
> bili two days later. I was afraid that I would hear
> that breastfeeding was
> not going well. Lo and behold baby was gaining like
> gang busters, but had ABO
> incompatibility. Back under the lights, mom in room
> with baby. Mom told me
> that breastfeeding was a breeze at this time,
> compared to the first few days.
> She felt wonderful and very in control of the
> feeding of her baby. Every
> staff person did a great job in supporting this mom
> and baby.
> I just wanted to show that there are some good
> things happening out there. We
> are a Boston teaching hospital and it doesn't always
> go right, but we are
> working on it.
>
> Lisa Enger RN BSN IBCLC
> Boston, MA
>
>
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