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dear Denise
I have no problem with your email self propmoting
or not
I thank you
Denise Hynd
"Let us support one another, not just in philosophy but in action, for the
sake of freedom for all women to choose exactly how and by whom, if by anyone,
our bodies will be handled."
� Linda Hes
----- Original Message -----
Sent: Tuesday, December 07, 2004 5:53
AM
Subject: [ozmidwifery] suctioning
This is an except from the Health e-Learning online course
BE04: Breastfeeding Initiation and the First Week.
[quote] Oral
aversion as an outcome of routine oropharyngeal or gastric suctioning or
intubation is often cited by clinicians as a cause of breastfeeding
difficulty, but little research is available to confirm this.
Waltman
(2004), in a small study of healthy term neonates, showed no benefits of
oropharnygeal suctioning but statistically significant slower heart rate for
20 minutes in the suctioned group. A Cochrane review (Halliday, 2004) likewise
recommends the routine practice of endotracheal intubation and suctioning of
vigorous, term neonates due to the presence of meconium-stained liquor be
abandoned as it has no beneficial outcome. Routine gastric suctioning,
involving the passage of a tube into the neonate's stomach and aspiration of
the contents has been linked to an increased prevalence of functional
intestinal disorders in later life (Anand, 2004). Widstrom (1987) noted that
gastric suctioning delayed the infant's prefeeding behaviors.
However,
the most telling outcome of these unnecessary procedures is described by
Deneyer et al (1992). Twelve full-term newborns with vague symptoms related to
the upper gastrointestinal tract (anorexia, poor feeding, retching,
regurgitation, and incessant crying) were diagnosed, by
esophagogastroduodenoscopy performed between days 2 and 5 of life, with
extremely severe esophagitis (circular ulcerations). When all other possible
causes of this condition were eliminated it was determined to have been caused
by pharyngeal, esophageal, or gastric suction at birth. [unquote]
And
the References for the studies cited:
Waltman PA, Brewer JM, Rogers BP, May
WL. (2004) Building evidence for practice: a pilot study of newborn bulb
suctioning at birth. J Midwifery Womens Health.; 49(1):32-8.
Halliday HL, Sweet D. (2004) Endotracheal intubation at birth for
preventing morbidity and mortality in vigorous, meconium-stained infants born
at term (Cochrane Review). In: The Cochrane Library, Issue 3.
Chichester, UK: John Wiley & Sons, Ltd.
Deneyer M, Goossens A,
Pipeleers-Marichal M, Hauser B, Blecker U, Sacre L, Vandenplas Y. (1992)
Esophagitis of likely traumatic origin in newborns. J Pediatr Gastroenterol
Nutr.; 15(1):81-4.
Anand KJ, Runeson B, Jacobson B. (2004) Gastric
suction at birth associated with long-term risk for functional intestinal
disorders in later life. J Pediatr.; 144(4):449-54.
Widstrom
AM, Ransjo-Arvidson AB, Christensson K, Matthiesen AS, Winberg J, Uvnas-Moberg
K. (1987) Gastric suction in healthy newborn infants. Effects on circulation
and developing feeding behaviour. Acta Paediatr Scand.; 76(4):566-72.
Yes, I know - this could be construed as flagrant self-promotion, and
I will apologise to those who are offended by me posting this. I have only
done so because it fits exactly into the main topic of conversation on the
list at the moment and I feel it adds to the already posted
comments.
Denise
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Denise
Fisher
Health e-Learning
http://www.health-e-learning.com
[EMAIL PROTECTED]
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