Stephanie
The practice of isolating a mother from her baby has been pretty standard 
in my (limited) experience when high dependency midwifery care is required 
by a mother whose life is threatened.  I commend you for protecting the 
bond between the mother and baby; and protecting breastfeeding, in this 
case as you have described it.  There are many accepted practices that are 
not based on the available evidence, and this is probably one.

I know of no scientific justification behind the fear that breastfeeding 
would overstimulate the mother.  If the baby is suckling, the mother's 
oxytocin release should be calming to them both.  The best reference I know 
on oxytocin this is the Pederson et al (editors) 'Oxytocin in Maternal, 
sexual, and social behaviours', published in 1992 by the New York Academy 
of Sciences (Vol 652)  There are some drugs that are given to hypertensive 
mothers that may be of concern in breastfeeding, but MgSO4 is considered 
safe for the breastfeeding infant (Lawrence)  See the chapter by Ruth 
Lawrence on medical complications of the mother in 'Breastfeeding: A guide 
for the medical profession.'

Joy Johnston
-----Original Message-----
From:   stephanie bethel [SMTP:[EMAIL PROTECTED]]
Sent:   Sunday, October 14, 2001 3:31 PM
To:     [EMAIL PROTECTED]
Subject:        Breastfeeding during severe pih.

Recently we had a lady that required a magnesium suphate infusion post 
birth
for svere PIH. While her BP stabilised, her reflexes were quite brisk but
her observations stable. She was admitted to our high dependency unit under 
the care of a midwife. Fornutely we were able to have the father and baby
close by,and breastfeeding was established early, infact the baby was fully 
breast fed from birth and escaped any complimentary feeds. We were
berated(by nursing admin.) for having the baby with the mother during this
time, stating that this will overstimulate the mother worsening her
condition.We put forward our point of view that it would have been more
stressful for the mother to have seperated her from her baby. I would be
interested in what your veiws are in this situation.
'Steph' <[EMAIL PROTECTED]>

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