Were this bubs in the SCN?? If so being of a lower birth weight with BSL
that are not great, formula comp-ing would not be a bad idea.. Esp
considering these bubs are most likely going to drop some weight post birth.
That could mean twin 2 could reaslistically drop to below 2kg.
Also, I am under the impression that due to the increased risk of these
bubs' sugars dropping further (being LBW and premature) then requiring IVT,
4/24 BSL etc one or two comp feeds to allow mum to get her head around
breastfeeding two bubs and recovering from the labour etc sounds reasonable.
I do understand both sides- one being the desire of the mother to BF versus
the well-being of her babies. Just because these bubs were offered a comp
feed does not mean she cannot BF..
On a side note, formula is written consent in the PNW where I work and
verbal consent in the SCN- as it is considered 'medically required'!
-Cheers!
From: Sue Cookson <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: [email protected]
Subject: Re: [ozmidwifery] consent to formula feed?
Date: Sun, 04 Jun 2006 19:46:29 +1000
Hi again,
this question originated after a scenario at the hospital i'm doing a
placement at.
twins born by elective s/section at 36+6 weeks
twin one 2550g, twin two 2210g
mother's intention to breastfeed
BSLs requested at 1 hr.
twin one 2.7, twin two 2.3
paed requested formula feed for both
i queried this condsidering the above - good bsl's, mother's request to
b/feed
scu nurse replied 'the doctor said so'
i asked her when she'd stopped being an advocate for the mother and the
baby
i then came across the father and asked him if he realised his babies had
been formula fed
his face said it all, but he muttered that the doctor probably knew best
what do you do??
that's why i've asked the question cos i looked in the hospital policy and
where it had printed written consent, that had been crossed out and verbal
handwritten above written in the policy.
not impressed,
sue
nb: mike, that's why i asked who was consented - maybe the father's are
not always fully passionate about how this happen - in this case it seemed
like that and i guess ultimately it's the mother who has to do all the work
involved with either feeding twins or expressing for twins, supported of
course by the father. i don't mean to demean the father's role, but it may
not always be that clear cut....
Interesting question about the consenting rights of the father. He seems
to have no rights. The baby is "baby of" the mother. What is the fathers
legal position? Any other time the parents have equal rights and one or
other can sign.
rgds mike
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