Babies will loose over the 10% but are weeing well have transitional stools and are settled. Others may not loose as much, but are hungry not weeing that much nor pooing much. I get annoyed that figures are used so much. The presence of urates can also be considered a sign of insufficient feeds, even though the nappy is "wringing wet". Policy demands comps, whatever bm available then formula 3/24 either by cup or syringe. Mum is encouraged to massage and express pc. I have a chat about diet and talk to them about the baby and it's behaviour. I will tell her if I believe all is well, but there are times when a baby genuinely needs comping. Maureen -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Alesa Koziol Sent: Wednesday, 15 December 2004 9:43 PM To: [EMAIL PROTECTED] Subject: Re: [ozmidwifery] feeds in 24 hrs?
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 > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
