[ozmidwifery] feeds in 24 hrs?

[Anne Clarke]

Dear Alesa,
The evidence I have is that for over 600 births in the Birth Centre per 
annum we weigh our babies at birth and we weigh them again at approx.10 days 
later at their postnatal check up and we have never had a problem.  Our mums 
go home by 24 hrs too, unless they or their baby is unwell.

I am not saying that babies are not having any problems but we pick them up 
sooner and deal with them immediately without the babies being compromised 
and we still don't weigh them we look at their feeding and their output - 
much better and it has kept us in good stead these almost 10 years.  I do 
not have any memory of any of my clients babies loosing more than 10 per 
cent of their birth weight.

Just letting you know what I do and the outcomes that's all.
Regards,
Anne
----- Original Message ----- 
From: "Alesa Koziol" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Wednesday, December 15, 2004 8:42 PM
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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