Marsha writes about increasing formula feeding in her area. We are seeing
exactly the opposite, happy to report. We usually are around 68 - 70%.
Lately we are around 75 to 80%, previously unheard of in our area.
Sadly, though we  have far to many "doing both" and a cavalier attitude
toward supplementation for just about any reason. Playing devil's advocate
though, I wonder if more moms are willing to give it a try because word is
out that you can do both those who are "scared of" exclusive nursing are now
willing to give it a try...not my thoughts but apparently the patients!

Another comment re: glucose monitoring. Our previous normal chemstrip was
40, with a need for intervention below that point. Chemstrips are no longer
going to be manufactures and we now have a Lifescan - flexmeter.Because it
is not accurate blow 50 any reading lower than 50 is going to be considered
as a "low glucose" and a need for a full blood sugar. Problem is, in our
triage nursery many times instead of allowing a nursing if the chemstrip is
borderline they will unfortunatley pop in a bottle instead of taking the
baby to mom. Sigh........!  Just another reason to expose babies to early
cow milk feedings!

LuAnn Smith RN, IBCLC
York,PA

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