I've noticed a run lately in the situation of "mom has a fever" of unknown
origin - either during labor or after delivery (hmmm, c/s? epidural?) and baby
is sent to NICU to r/o sepsis. We've had lots of ambiguity and no real
consistency on whether or not baby "can" get the pumped colostrum. Last week a
situation arose, the neos said OK and I ran interference so baby got milk. This week
it happened on a Sunday, the NICU nurse told mom "No" so she was only pumping
"occasionally" and was engorged when I saw her. Mom was told every bad line in
the book and also had a defective valve on the pump kit so was getting poor
suction. (have never seen this in 20 years of using pumps) I may have lost her
a little with my determined sharing of information but I tried.
I'm trying to dig for information in the various resources that I have. Can
anyone point me in the right direction? I spent quite some time looking through
Lawrence, the BAB and other sources. Red Book AAP? Guidelines for Perinatal
Care? ABM?
Thanks in advance,
Mary Kay Smith, RN, IBCLC
Canton MI formerly of Romeoville IL

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