www.cpqcc.org/documents/255/download

Trying to post link to the ABM's protocol 10, Breastfeeding the Near-Term 
infant.
These guidelines have been helpful, esp. the amount of supplementation 
suggested.  

A 34-weeker is very different from a 37-weeker, also.
Many times in our hospital, that late-preterm infant is a multiple, with another 
set of challenges!
I definitely feel "under the gun" when taking these little ones to recovery 
after mom's c-section, just praying they will nurse.  Often using manual 
expression from the get-go to get a few drops in ASAP.







________________________________
From: Leslie Wolff <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, January 4, 2011 12:35:12 PM
Subject: Late Preterm Newborns

Dear Friends
Lately we have been trying to work out a policy concerning breastfeeding for the 
Late Preterm Newborn.
Even the experts do not totally agree about what should be done the first few 
days in the hospital and also beyond, when the baby does give  the impression 
that he is breastfeeding well.  Some experts say: Don’t trust the infants ( “The 
great pretenders”)– they LOOK like they are feeding well, but they are not as 
energetic as the full term, and in the long run the mothers' breasts don’t work 
hard enough – there may be engorgement and later on low milk supply- and delay 
in weight gain.   So: breastfeed for a limited time , give expressed  milk as 
supplement and pump – every three hours.  Other experts say: breastfeed, pump – 
but don’t give as supplement – so the baby will wake up himself to eat more.   
And My biggest question is – when do these late preterm ( 35-36+ week old) 
babies HAVE to eat during the first few hours after birth.  If we do Skin to 
Skin, and let the baby have time to breastfeed with his mother ( leave them s2s 
together at least a full hour if not two) but the baby/mother  for some reason ( 
and there are many of course..) do  not breastfeed -aren’t capable of 
breastfeeding during those first two hours immediately after birth- and we don’t 
succeed in getting expressed milk for him withing the first few hours -  when do 
we say : no choice, he has to get some food inside of him, even if it is 
formula….?? - Taking in consideration that we do a few glucose blood tests 
also... 4-5-6 hours after birth?  As much as we desire to have the baby first 
get colostrum into his body..when does FEED THE BABY come first during the first 
few hours after birth for the Late Preterm?  I would very much appreciate your 
input about these questions.
CLOSE TO THE HEART, Leslie Wolff, Israel  IBCLC

DISCLAIMER: This mail message was scanned for malicious content by Quality Bytes 
Mail Security when leaving the gateway of Kibbutz Hazorea
http://qb.q-bytes.com/qbms/?c=hazorea
.

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set 
lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome



      

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome