Re: [ozmidwifery] Breastfeeding a premmie baby (very long) an update
Hi Miriam I am a middy student also, but have not encountered as much drama as you have. Hang in there. It sounds like you are a wonderful midwife and a awesome support for this woman, baby and her family. Keep up the wonderful attitude of being with woman. Katrina On 09/01/2005, at 4:55 PM, Miriam Hannay wrote: Hi all, your support and advice is great. Yes, this hospital is VERY breastfeeding unfriendly - no lactation consultant on site, one small side room for feeding which is often available, in which case my follow through woman struggles with her daughter behind a screen in the nursery. Staff pop in every two minutes or so to see if she's 'given up' (their words, not mine). I was there the other day when a midwife also said to this very determined, brave and lovely woman 'You can't force her, you know, she will win' to which the woman replied 'i will keep trying until i win'. I am constantly appalled by their atitude, and they make no secret of the fact that they believe my follow through woman's tenacity and 'bloody mindedness' about no dummy, no bottle, demand feeding is all my fault (naughty, boat rocking, pot stirring midwifery student). On my previous advice, this woman asked to be set up with a supply line, to be told they would need to see if they could find one - we are still waiting! Babe is feeding better everyday and while this woman is completely undermined by nursery staff I am always there to say 'you are doing a wonderful job and you are the expert on YOUR daughter and what she needs'. I feel this woman believes and trusts me. I just can't wait for the day they go home and their little one no longer 'belongs' to the hospital. They also asked again to see the paediatrician (he's unavailable apparently) and have only seen a young RMO once since their baby was transferred back to this smaller hospital from the major tertiary centre she was retrieved to initially for RDS. On a bright and positive note, if any woman can breastfeed, this woman can. She is SO determined to reclaim this experience with her child that I believe she's unstoppable. I will also write up this experience in my follow through journal (submitted at uni for assessment) and will speak to my clinical facilitator about this (a bit tricky during summer holidays). I really think the institutional culture of this hospital must change to benefit women and babies - they also wouldn't let me into theatre with her for her CS and were even crabby about me waiting in recovery!! ARGHH! I have also got hold of some great research (thanks for your links everyone) which I have printed out and will give to my follow through woman when I see her tomorrow (I couldn't be any less popular at this hospital so what the hell!) I'll let you know how it all pans out, thanks again, miriam. Dear Miriam This NICU and its staff (or at least those you have encountered) seem to be so uninformed. Where is the informed consent and respect for clients let alone updated research basis to practice. I suggest your university should encourage this hospital to consider the Baby Friendly Hospital Initiatve accreditation process!! Is a lactation consutlant on staff ? Have any staff heard of all the research about skin to skin care and its benefits particualrly for premmies?? There was a book Skin to Skin care; The best you can do for your preterm baby by Susan Gallant (?) but I have given away my copy Try Nils Bergman web site http://www.kangaroomothercare.com/ Andrea stocks Susan Langs book Breastfeeding special babies perhaps the parents could take some information like a book or an article to support their requests and educate the staff!! I would also recommend some gentle diplomatic assertion on the part of yourself, your supervisors and the parents because my expereince is that going along with the staff can undermine their self confidence and perpetuates this unprofessional situation for others as well as your client. Is their a patient advocate in the hospital can you talk with them?? I realise this is difficult ask but find your supports before you attempt it and do what you can please. If no-one challenges these situations to change they will stay there and continue to impact adinfnitum. 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: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 7:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now
Re: [ozmidwifery] Breastfeeding a premmie baby (very long) an update
On 09/01/2005, at 4:55 PM, Miriam Hannay wrote: On my previous advice, this woman asked to be set up with a supply line, to be told they would need to see if they could find one - we are still waiting! Couldn't they use a NG tude attached to a syringe for the same effect??? I guess the inclination needs to be there though. Katrina -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long) an update
Hi all, your support and advice is great. Yes, this hospital is VERY breastfeeding unfriendly - no lactation consultant on site, one small side room for feeding which is often available, in which case my follow through woman struggles with her daughter behind a screen in the nursery. Staff pop in every two minutes or so to see if she's 'given up' (their words, not mine). I was there the other day when a midwife also said to this very determined, brave and lovely woman 'You can't force her, you know, she will win' to which the woman replied 'i will keep trying until i win'. I am constantly appalled by their atitude, and they make no secret of the fact that they believe my follow through woman's tenacity and 'bloody mindedness' about no dummy, no bottle, demand feeding is all my fault (naughty, boat rocking, pot stirring midwifery student). On my previous advice, this woman asked to be set up with a supply line, to be told they would need to see if they could find one - we are still waiting! Babe is feeding better everyday and while this woman is completely undermined by nursery staff I am always there to say 'you are doing a wonderful job and you are the expert on YOUR daughter and what she needs'. I feel this woman believes and trusts me. I just can't wait for the day they go home and their little one no longer 'belongs' to the hospital. They also asked again to see the paediatrician (he's unavailable apparently) and have only seen a young RMO once since their baby was transferred back to this smaller hospital from the major tertiary centre she was retrieved to initially for RDS. On a bright and positive note, if any woman can breastfeed, this woman can. She is SO determined to reclaim this experience with her child that I believe she's unstoppable. I will also write up this experience in my follow through journal (submitted at uni for assessment) and will speak to my clinical facilitator about this (a bit tricky during summer holidays). I really think the institutional culture of this hospital must change to benefit women and babies - they also wouldn't let me into theatre with her for her CS and were even crabby about me waiting in recovery!! ARGHH! I have also got hold of some great research (thanks for your links everyone) which I have printed out and will give to my follow through woman when I see her tomorrow (I couldn't be any less popular at this hospital so what the hell!) I'll let you know how it all pans out, thanks again, miriam. Dear Miriam This NICU and its staff (or at least those you have encountered) seem to be so uninformed. Where is the informed consent and respect for clients let alone updated research basis to practice. I suggest your university should encourage this hospital to consider the Baby Friendly Hospital Initiatve accreditation process!! Is a lactation consutlant on staff ? Have any staff heard of all the research about skin to skin care and its benefits particualrly for premmies?? There was a book Skin to Skin care; The best you can do for your preterm baby by Susan Gallant (?) but I have given away my copy Try Nils Bergman web site http://www.kangaroomothercare.com/ Andrea stocks Susan Langs book Breastfeeding special babies perhaps the parents could take some information like a book or an article to support their requests and educate the staff!! I would also recommend some gentle diplomatic assertion on the part of yourself, your supervisors and the parents because my expereince is that going along with the staff can undermine their self confidence and perpetuates this unprofessional situation for others as well as your client. Is their a patient advocate in the hospital can you talk with them?? I realise this is difficult ask but find your supports before you attempt it and do what you can please. If no-one challenges these situations to change they will stay there and continue to impact adinfnitum. 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: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 7:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] Breastfeeding a premmie baby (very long)
This baby is now 37 weeks, pretty close to term. I would think she should be fed 4/24 at the breast, and if gaining well onto demand quickly. But some places are very conservative. In all honesty I'd play their game in the hope I'd get my baby home quicker. Then I would establish full b/f. She has good supply, good technique and you to support her. The longer this baby is in the hospital, the greater the chance of ending up bottling. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Miriam Hannay Sent: Friday, 7 January 2005 10:04 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
These are my comments about feeding a premmie at 34 weeks. DS2 was born at 34 weeks, and fed my tube (both EBM and DBM - we had a milk bank) for the first 5 days or so. At around day 5 I was there to breasfteed on demand but at least every 4 hours (baby woken to feed if this was the case). I had a go at breastfeeding first and then baby was fed EBM/ DBM if that was felt not enough (there was weighing before and after feeds which I used to lie about :-)). I needed lots of quiet time with my son - with no interuptions. He was tired and suckled infrequently. But the staff encouraged me to keep at it. After about a week, he was feeding well, but basically I was there all the time to feed when he woke. Special room to settle and feed - every encouragement to breastfeed. Bottle feeding was a last resort and not offered as a first option.This was 10 years ago in the UK. Breastfeeding premmies can be done, but what you need is the support of NICU staff and the right setting (we had a special room set aside with low lighting etc, to help us). Baby went home before term, fully breasfted and never had a bottle :-) I would be happy to talk more offlist. Debbie Slater Perth, WA - Original Message - From: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 7:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
Hi Miriam, I am horrified at this hospital's attitude and totally agree with your thoughts. However, it sounds like the hospital staff are unlikely to change their stance on this. The only thing I'm wondering about is maybe they would consider a supply line with EBM in the bottle whilst the baby suckles at the breast. Your follow-through woman is very fortunate to have you as a support and advocate. My younger grandson was born at 27/40 (surviving twin) and started breastfeeding at about 34/40. However, it could/should have been earlier. He actually attached really well and was easier to get on the breast than his older brother, born at 37/40! I'm sure Jack Newman would have something on breastfeeding premmies in his articles, go to www.erols.com/cindyrn/drjack0.htm It's also really easy to contact him direct by email. The word of a world renowned paediatrician may carry some weight! Also ABA has a booklet on breastfeeding premmies. Keep up the good work. Regards, Joy Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 22:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
HI, ABA also sells Jane Morton's video a premmie needs his mom Sounds like the hospital needs education such as this. It's expensive, but good. They also sell supply lines (Medela SNS - they are very good) and hire breastpumps. www.lrc.asn.au (video) www.mothersdirect.com.au (supply line) - Original Message - From: Joy Cocks [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Saturday, January 08, 2005 8:49 AM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi Miriam, I am horrified at this hospital's attitude and totally agree with your thoughts. However, it sounds like the hospital staff are unlikely to change their stance on this. The only thing I'm wondering about is maybe they would consider a supply line with EBM in the bottle whilst the baby suckles at the breast. Your follow-through woman is very fortunate to have you as a support and advocate. My younger grandson was born at 27/40 (surviving twin) and started breastfeeding at about 34/40. However, it could/should have been earlier. He actually attached really well and was easier to get on the breast than his older brother, born at 37/40! I'm sure Jack Newman would have something on breastfeeding premmies in his articles, go to www.erols.com/cindyrn/drjack0.htm It's also really easy to contact him direct by email. The word of a world renowned paediatrician may carry some weight! Also ABA has a booklet on breastfeeding premmies. Keep up the good work. Regards, Joy Joy Cocks RN (Div 1) RM CBE IBCLC BRIGHT Vic 3741 email:[EMAIL PROTECTED] - Original Message - From: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 22:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
Hi Miriam, It is obvoius that there are communication difficulties between the mum and NICU staff. I always talk to women with specific needs about dealing with professionals as as means of getting as much information as possible and maybe being able to get their point of view across without being confronting. Basically, i always get women and their partners to ask why or is this really necessary? or to use bran eg ask the staff what are the benefits, risks, alternatives or the option of doing nothing. This can be in regard to artificial feeding and breastfeeding. Maybe finding some evidence based information about breastfeeding for premmies that you could leave lying around in NICU. The second problem is trying to be able to establish breastfeeding. Is there a lactation consultant that the woman and her baby could be referred to while in hospital, an LC outside the hospital who is willing to come into the hospital to see them or once at home? Here in Tassie we are fortunate to have Sue Cox who talks about skin to skin contact with mum and baby, or kangaroo cuddles, even if the baby doesn't suck initially, the baby licking the nipple and stimulating the nipple with it's fingers are very important beginings. Babies have a strong sense of smell so leaving a small cloth doll with breastmilk dabbed on to it in the baby's cot can help the baby become familiar with the smell of mum. Even running a drop of breastmilk under the baby's nose can help to achieve this. Plus the opportunity to practice breastfeeding and being supported doing that. Joy's suggestion of supply line at the breast is a really good compromise and it's graduating the baby from the bottle to the breast preferably with as much skin to skin contact as possible. I hope some of this helps Miriam have you considered becoming an LC in the future to support breastfeeding mothers and babies? regards kathy - Original Message - From: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 22:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
Re: [ozmidwifery] Breastfeeding a premmie baby (very long)
Dear Miriam This NICU and its staff (or at least those you have encountered) seem to be so uninformed. Where is the informed consent and respect for clients let alone updated research basis to practice. I suggest your university should encourage this hospital to consider the Baby Friendly Hospital Initiatve accreditation process!! Is a lactation consutlant on staff ? Have any staff heard of all the research about skin to skin care and its benefits particualrly for premmies?? There was a book Skin to Skin care; The best you can do for your preterm baby by Susan Gallant (?) but I have given away my copy Try Nils Bergman web site http://www.kangaroomothercare.com/ Andrea stocks Susan Langs book Breastfeeding special babies perhaps the parents could take some information like a book or an article to support their requests and educate the staff!! I would also recommend some gentle diplomatic assertion on the part of yourself, your supervisors and the parents because my expereince is that going along with the staff can undermine their self confidence and perpetuates this unprofessional situation for others as well as your client. Is their a patient advocate in the hospital can you talk with them?? I realise this is difficult ask but find your supports before you attempt it and do what you can please. If no-one challenges these situations to change they will stay there and continue to impact adinfnitum. 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: Miriam Hannay [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, January 07, 2005 7:04 PM Subject: Re: [ozmidwifery] Breastfeeding a premmie baby (very long) Hi all, hope you can help me with advice for a follow through woman (i am a commencing 2nd yr Bmid student)who had her babe by emerg. LSCS at 35 weeks on 22nd December due to PROM + active labour, baby footling breech. Babe was 2490 grams at birth but had pretty bad RDS and spent a week in NICU requiring heaps of oxygen support. All's well now, and mum has marvellous milk supply which she would love to give her baby, BUT!! The woman has been expressing 8 times in 24 hours and getting 60-100 mLs per session, babe is being gavage fed in nursery and is constantly sleepy and not keen to go on the breast. When the woman requested no dummy and bottle and to be called when her babe woke to start establishing demand feeding at breast, staff immediately became VERY negative, refusing to speak with her, ignoring requests for assistance etc. She was told she was 'doing it the hard way' and that if she refused to allow her baby to be given EBM by bottle she would end up stuck in hospital for weeks. She has allowed the baby to be given EBM by bottle and does feel that breastfeeding is improving but feels uncomfortable with staff and that she's not being given the chance to give breastfeeding a good shot. I have watched her feed and when alert the baby feeds well, the woman's attachment technique is great and they are a great unit. I have four of my own, all extended breastfed so I feel confident in supporting her breastfeeding but am lost with these nursery protocols. One midwife told her that nipple confusion was 'crap' and that without bottle feeding as transition her baby would take much longer 'graduating' to the breast. Every core of my being screams out that these people are WRONG but i'm not sure where the best evidence lies. My Maye's Midwifery supports the idea of demand feeding premmies and avoiding nipple confusion but the info is a little light for my liking. What do you all think? This woman has been told to expect her baby to be in hospital until she's term but she's desperate to get her home ASAP. Any advice would be wonderful, regards, miriam Find local movie times and trailers on Yahoo! Movies. http://au.movies.yahoo.com -- 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.
