Re: [ozmidwifery] feeds in 24 hrs?

[Denise Hynd]

The Baby Friendly Hospital Initiatve covers when a baby medically requires a 
comp.

The UK BFHI site has some very enlightening articles
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 ----- 
From: "Ken WArd" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Wednesday, December 15, 2004 7:13 PM
Subject: RE: [ozmidwifery] feeds in 24 hrs?


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
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