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checking out a newborn AMA  

post #1 of 24
Thread Starter 
is it possible? this is what is going on:


A friend had a c-section last night (after trying for a VBAC the baby turned transverse, argh). They put her in recovery and the baby in the transition nursery and did not allow any nursing at all during this time. Meanwhile, they tested the baby's glucose level and said it was low - 35. they fed her formula, waited a couple of hours, said it was low again. The mom demanded the baby be brought to her to be nursed as colostrum would help her glucose level. They wouldn't and had the pedi on call call the mom and tell her that she will not get her baby until they stabilize her glucose level with FORMULA. Nevermind that mom has a ready supply of colostrum to fix the problem they are trying to fix, right? They're not able to measure the amount she's getting, so that's not good enough for them. So she does get to feed her five hours after birth...she nurses her and they insisted on the "doctor's orders" or formula, which she dropper fed to the baby. The tested her again an hour later and her reading was still in the 30s. So the pedi came in this a.m. and put the baby in the level 2 NICU because her glucose level is 32 after formula. Mom is allowed to pump and syringe feed the baby (so they can measure it, not because the baby can't latch, because she has a beautiful latch), but they're also insisting on the formula until they get a glucose level reading over 40 (i think).

To me this all seems counterproductive. Mom doesn't want any of it, and they're not giving her a choice. She feels that if she's allowed to room in with the baby and feed on demand this problem will disappear, but the doctors are treating her as if it's all beyond her control and she has no say.

So my question is...if you were in this situation, what would you do? How do you convince a doctor that he's not doing the right thing?? (Oh, by the way, from what I've read in medical journal articles on the subject, levels above 30 with no other signs of hypoglycemia do not need any other interventions other than early and often nursing.)

Thanks for any input on this subject!
post #2 of 24
Wow - I'm sorry your friend and her baby are stuck in this situation.

I think I'd ask for them to weigh the baby before and after nursing - that way, the baby can actually nurse, and the hosp. can still know how much is going in.

And I don't understand - if the baby is acting like a healthy baby (breathing, temperature, etc.), only with low glucose, why can't the baby stay with Mom!?

Can she basically camp out in the NICU?
post #3 of 24
Yes, it's possible--they can't hold her baby hostage.

But there's nothing stopping them from calling CPS.

She can also INSIST that the baby not be given formula, and explain to them that she is not giving permission for that baby to have formula. Threaten to leave AMA, but try to avoid doing so.

Kelly

PS-Weight with colostrum, when you're talking about feeding with a dropper, isn't going to be sufficient....
post #4 of 24
Thread Starter 
Quote:
Originally Posted by idocrase
Wow - I'm sorry your friend and her baby are stuck in this situation.

I think I'd ask for them to weigh the baby before and after nursing - that way, the baby can actually nurse, and the hosp. can still know how much is going in.

And I don't understand - if the baby is acting like a healthy baby (breathing, temperature, etc.), only with low glucose, why can't the baby stay with Mom!?

Can she basically camp out in the NICU?
they DID weigh her before nursing. they weighed her fully clothed with a diaper and after she nursed the baby pooped and they weighed her without a diaper. it just seems like they are doing all they can to go against the mom!!
post #5 of 24
Thread Starter 
Quote:
Originally Posted by CookieMonsterMommy
Yes, it's possible--they can't hold her baby hostage.

But there's nothing stopping them from calling CPS.

She can also INSIST that the baby not be given formula, and explain to them that she is not giving permission for that baby to have formula. Threaten to leave AMA, but try to avoid doing so.

Kelly

PS-Weight with colostrum, when you're talking about feeding with a dropper, isn't going to be sufficient....
the baby is in the NICU and so her rights are basically null and void. they do what they beleive is in the babies best interest and mom doesn't get a say :
post #6 of 24
that kind of thing just ticks me right off! I would (and have) demand that they weigh the baby before and after nursing, and that I will top up with expressed breastmilk with a syringe... the dr always calculates how much the baby is supposed to be eating (ounces or milliliters based on weight and gestational age) so the weigh before and after should solve the problem. I'm sorry she is going through this
post #7 of 24
Quote:
Originally Posted by scatterbrainedmom
they DID weigh her before nursing. they weighed her fully clothed with a diaper and after she nursed the baby pooped and they weighed her without a diaper. it just seems like they are doing all they can to go against the mom!!
man they must be so behind the times, the baby is supposed to be weighed fully clothed and all (unless mom is nursing nude not a bad idea) and then weighed with the exact same clothing and diaper (even if poopy)
post #8 of 24
have her get a lactation consultant in there pronto, even if it is at her own expense. that ped sounds like a powertripper. grrr.......

~claudia
post #9 of 24
Thread Starter 
the lc's hands are tied apparently the doctor gave orders that the baby HAS to have formula
post #10 of 24
This is way out there, but could she check out and go to another hospital? That way, she's still getting care, but she's not at the sucky place?
post #11 of 24
Thread Starter 
good question!! i'll ask and see what she has to say
post #12 of 24
These are the kinda things that make me freak that i am not having a homebirth!!

Hugs to the mama and the baby.
post #13 of 24
Yup, I attended the birth of a diabetic mom yesterday. Baby was fine, sugar was 99 at birth, stayed with mom and got lots of colostrum. They still insisted that they take the baby away to the NICU for observation for two hours (for two more heel sticks, which they could do in the room, you know?). No retracting, no lethargic behaviour, no suck issues...baby was fine, but it was "protocall" so they had to do it. And while they were there, they HAD to give the baby formula to be sure her sugar stayed stable. What?! This kind of stuff drives me bonkers. But apparently it happens all the time. A person needs to know very well the policies of the docs in the hospital, and how the nicu handles breastfeeding!
post #14 of 24
That's crazy. They're going to end up making that baby sick, and of course bonding has already been interfered with. If it were me, I would absolutely check out AMA and transfer *immediately* to the care of a doctor who isn't a quack. Let them call CPS. I'd like to see them try to prove that formula is better for babies than colostrum.
post #15 of 24
Oh my gosh, that is terrible! They thought my baby might have low sugar but we insisted that she be with us at all times and it never was a problem. I would be livid if they tried something like that on me. Fortunately the L&D nurse "forgot" that it was protocol to test sugar in babies as big as mine, so she didn't get tested until she had been fed several times, about 6 hours after birth. I denied them access to test her the two additional times they wanted to check her levels.

I'm so sorry your friend is having such a rough time with the hospital's rediculous protocols!
post #16 of 24
I would ask for a different ped - obviously this one isn't worth two cents. Why can't she ask for a second opinion at least? Perhaps the second ped would allow nursing.
post #17 of 24
Quote:
Originally Posted by fourlittlebirds
That's crazy. They're going to end up making that baby sick, and of course bonding has already been interfered with. If it were me, I would absolutely check out AMA and transfer *immediately* to the care of a doctor who isn't a quack. Let them call CPS. I'd like to see them try to prove that formula is better for babies than colostrum.
scatterbrainedmom,

:, what fourlittlebirds said to you, but also I will get a midwife as well as that.

Also, tell her get a woman lawyer, so she can sue the hospital, nurses, doctor, or whomever else was involve with care of her new baby. Also, tell her to look at her chart and the baby's chart and don't any of the nurses, ba's, pca's, doctors tell her she can't because its her all right. So on, which I can't think of now.



post #18 of 24
I would go AMA in a heartbeat in this situation. That is insane.
post #19 of 24
To be honest, all the other great stuff aside,
THIS is exactly why i homebirth

The other reasons are just perks.

NOONE will EVER hold my baby hostage from me.

I would KILL anyone who did this to me.
post #20 of 24
Quote:
Originally Posted by bobandjess99
To be honest, all the other great stuff aside,
THIS is exactly why i homebirth

The other reasons are just perks.

NOONE will EVER hold my baby hostage from me.

I would KILL anyone who did this to me.
:
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