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Subject:
From:
Alicia Dermer <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 8 May 1995 21:36:57 -0400
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Hi, all:  I'll be testifying on behalf of the New Jersey Breastfeeding Task
Force at a hearing on 5/15 about proposed return to minimum 48-hour
postpartum hospital stays.  The bill in question was apparently introduced
by a congresswoman backed by NOW.  I am highlighting factors which can
aggravate breastfeeding problems failing adequate follow-up after early
discharge.  Among these, I wish to address anecdotal evidence of increasing
numbers of babies with lethargy and uncoordinated suck-swallow related to
increasing use of ever-earlier epidurals with their consequent pitocin
augmentations, vacuum extractions, etc.  This will likely be unpopular with
the NOW contingent, who, I understand, want more epidurals! To effectively
present this issue, I need documentation.  Unfortunately, the literature is
unhelpful, since the studies which do demonstrate postpartum problems fail
to account for confounders, e.g. a higher-risk labor being more likely to
result in interventions.  I'm throwing this out for all your good astute
observations, and any suggestions on how to present this trend (if there is
one!) as a negative development.  I'd appreciate international input for
comparison (e.g. is there less of a problem with early discharges where
epidural rates are lower?).
I also have anecdotal reports that home care agencies sending home visit
nurses postpartum often send nurses with no lactation training, some without
maternal-child training!  Having no time to call all the local home care
agencies to substantiate this, I'd again appreciate any of your experiences.
Thanks, Alicia.   [log in to unmask]

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