I absolutely agree on the early feeding theory Andrea.

Years ago Noble Park (?) Pvt Hosp (who I think either don't exist or don't do mid anymore) did a study (in 1990/1 maybe) on how initiating early breast feeding (with EBM or colostrum if no suckling happening) & maintaining reg feeding over subsequent days effected jaundice in the new born.
They presented the stats at a wshop at the HB conf 1992 in Sydney.
The results were staggering. They reduced the number of infants with high SBRs &/or those requiring Phototh by 56% simply by feeding EBM early & often.
Irrelevant about the early or late C/C issue.
It makes such sense really.
Including the "prematurity & Not passing mec soon after birth. The longer the mec stays inside
the more bilirubin is reabsorbed increasing the workload of the immature system. This is usually influenced by how quickly the baby is able to feed." factors.


Brenda



& the how
----- Original Message ----- From: "Andrea Quanchi" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, October 05, 2005 11:33 AM
Subject: Re: [ozmidwifery] Induction and third stage labour


There are many reasons that influence whether a baby gets jaundiced or not
 Two of these are
1. prematurity ( of the liver as well as dates, some babies livers take ages to be efficient enough to clear the jaundice.

2. Not passing mec soon after birth. The longer the mec stays inside the more bilirubin is reabsorbed increasing the workload of the immature system. This is usually influenced by how quickly the baby is able to feed.

The thing about synt is that it is often used to augment labour in a woman who has been labouring for hours or to induce labour in a woman who is not yet ready to go into labour and the result is a tired mother and baby who often dont come together well to feed without good assistance. This is often not forthcoming in the hurry to get things cleaned up, the move to the postnatal ward and paper work to be done. Ask your friend and she will probably not have seen jaundice in a woman who has had synt but had a quick labour. Most women who birth in hospitals have synt in some form or other for 3rd stage and the level of jaundice in some settings is very low. I would suggest it may be in direct relationship to the length of time until feeding is established.

I think the whole reason synt is being used is the concern rather than blaming the synt for jaundice alone.

Andrea Q
On 06/10/2005, at 2:03 AM, Belinda wrote:

I have a friend who has been a ipm for many years and she believes that babies are more likely to get jaundiced when the mother has had synto, it makes sense of they get that extra unneccessary boost of blood.
Belinda



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