I am looking for info, on the request of the Neonatologist, to lead me to any evidenced-based recommendations related to breastfeeding with persistent tachypnea. He is looking for specific quidelines with numbers of RR/min, etc. He is OK with borderline rates like 60's with nursing. But, this baby is doing 80-100/min. This is not TTN (transient tachypnea of the newborn. Infant is term 3 day old, being treated for sepsis, without signs of pneumonia or other respiratory distress at present... just the persistent tachypnea and severe chorioamnionitis of the placenta. Yesterday with the colostrum the Neo's had less concern, but baby wasn't interested yet ... today with mom's abundant milk supply they are more concerned. Grandma is very persistent and wants this baby to breast and not doing gavage feeding. The baby's mother is young, but experienced and willing to wait till the Dr's concerns are less. The Neo is very supportive of breastfeeding, but is of course concerned about perceived risks of aspiration. And is looking for evidence to help support him before he gives the ok to breastfeed with respiratory rates this high. (He in no way wants this baby to bottle feed.) I have searched the archives and only came up with one entry and it was TNN related. I am also doing a lit search, but not coming up with much yet. I'm not too savvy about this research stuff, but trying diligently. I would greatly appreciate being headed in the right direction. Does anyone have a reference at their finger tips? Or have a Policy at their NICU that might help me further? Thank-you in advance, Rachel A. Miller RN, BSN, IBCLC [log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html