Hi Kirsty (or was it Kristy?),
Just a quick note after night duty!
Yes, Pethidine can make babies sleepy for quite a long time.  Apparently it
CAN take 2 weeks or more for their livers to fully metabolise it and excrete
it from their systems.
In the meantime I would suggest lots of skin-to-skin contact with mum with
her breast exposed to baby.  (Maybe have a long relaxed bath with baby if
that is possible?)  She should certainly be hand expressing colostrum and
giving it to baby via a teaspoon, cup or syringe - try to avoid bottle teats
at this early age.  Lots of reassurance that it WILL happen given time and
patience.   It is acceptable for healthy newborns to go up to 24 hours
before they really suckle at the breast, although they should be given lots
of opportunities in that time.  Be watchful that no-one tries to force the
little one at the breast because this can be a really unpleasant experience
and make the baby dislike any attempts at b/f.
I'm sure others will respond and give you more food for thought.
Cheers,
Joy

Joy Cocks RN (Div 1) RM CBE IBCLC
BRIGHT Vic 3741
email:[EMAIL PROTECTED]


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