Dear Anne
Fully endorse your practice as sound, safe and yet still covering bases for
those infants that dont suckle direct.
I would like to continue this discussion to the management of those babes
who lose weight >10% on third day
.......please don't inundate me with info on NOT weighing babes at all
whilst in hospital,  unless you have some great evidence I can use to
challenge that practice:)
Looking forward to the continuation of healthy dialogue
Cheers
Alesa

Alesa Koziol
Clinical Midwifery Educator
Melbourne
----- Original Message -----
From: "Anne Clarke" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, December 14, 2004 6:43 PM
Subject: [ozmidwifery] feeds in 24 hrs?


> Dear All,
>
> Regarding a (healthy, full term) baby feeding in the first 24 hrs. If the
> babe has had a feed soon after birth we do not worry for at least 12+ hrs.
> NEVER EVER take a BSL unless baby is symptomatic.  This has never occurred
> though.
>
> If babe has not had a feed soon after birth we express mum and give via
cup
> or syringe a couple of hours or so after birth.
>
> If babe is hungry and has not attached or whatever after the 12 hrs we
show
> mum how to express and give via cup or syringe approximately 3-4 hrly
until
> the baby attaches more often if the baby wants to feed more often of
course.
>
> We send our mum's home with this plus we ring them at home or if they have
> any queries they can call us (with a backup to a LC of course or our
> breastfeeding clinic staffed by an LC) lots of skin to skin, babe near the
> breast all the time so not to miss an 'opportunity' to have a feed and it
> seems to work beautifully.
>
> You cruel lot doing a BSL - stop it!!  The WHO recommendations say it is
not
> necessary on a well, full term baby unless symptomatic.  Babies do not
> become symptomatic if they feed regularly and if necessary by EBM, they
will
> always swallow even if they won't suck.  It is suprising how many 'wake
up'
> and feed with a few mouthfuls of EBM.
>
> Anne Clarke
> Brisbane
>
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