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If this is the "Best", I'll stay home  

post #1 of 8
Thread Starter 
The Good: My old roommate just had her first baby this Saturday! He was born at 36 1/2 weeks (she had been on medication to prevent labor since about 28 weeks) and even though he was that early he still came out at 6 lbs. 7 oz. and 19 3/4 inches and overall in good shape!

The Bad: Because he had some breathing difficulty (which I'm not too sure of, but my paranoia of hospitals intervening unneccessarily is a whole other story) he was put into the NICU. My friend, who has been excitedly anticipating breastfeeding, was told by a nurse that she could not breastfeed him. When I spoke to her Saturday evening (he was born around 1 in the afternoon) she said that he was being tube-fed some formula because she had requested that they not use any artificial nipples and she had not gotten the chance to breastfeed him AT ALL. She had been harassing the nurses all day to let her know as soon as she could put him to the breast and no one would let her. The next morning (Sunday) a nurse called and told her that she could come try to breastfeed and said, "I don't know why someone told you you couldn't!" She did attempt to breastfeed that morning but said he was sleepy at the breast and wasn't latching on that great. Finally, around 3 p.m. Sunday afternoon she got an LC (whom she called twice and had to practically beg to come to the NICU with her) and called me excitedly saying, "I breastfed." and talking about how amazing it was and that she would get to go breastfeed him again at 5:45. We visited her just before that trip to the NICU (we didn't get to see the babe unfortunately) and she was talking about how upset she was that they had not let her breastfeed him that first day. My heart broke for her. Now, I am not a doctor and I know very little about preemies but is there absolutely ANY reason why she would not be able to breastfeed her infant... her premature infant that probably needs her colostrum even more so than most? I am livid for my friend. She is young and without much breastfeeding support (her dad rolled his eyes when she asked for some privacy to pump); She does have a doula that is also an LC but I'm not sure where she went after the birth. I'm glad that she is successfully breastfeeding even with all the roadblocks they tried to put up along the way but I do think that NICU nurses disallowing someone from breastfeeding their child should be brought to SOMEONE'S attention. Even if the formula was medically necessary- what they did severely jeopardized their breastfeeding relationship. I do not want this to happen to another woman and child. What if the next woman this happens to isn't as persistent as my friend and when met with opposition from a NICU nurse doesn't even attempt to breastfeed? What would be the best way to go about filing a formal complaint? TIA.


Oh, and this was at the hospital voted "Best Place to Have a Baby" in our city.
post #2 of 8
I'm not a doctor either, but working on a maternity unit (with a level 3 NICU), I have seen/met people whose newborns have been unable to feed by mouth (including from the breast) due to respiratory and/or prematurity issues. I'm not saying yes or no in your friend's case, but it can happen.

At the hospital where I work, a baby in the NICU or special care nursery (step down between NICU and regular rooming in) is an automatic consult with a IBCLC and an visit from the lactation boutique to arrange pump purchase or rental.

It does sound like she was treated poorly by the staff there, but that may or may not mean their care assessment was inaccurate.
post #3 of 8
Thread Starter 
Yes I have heard of issues where the baby was unable to feed by mouth but since the nurse that told her she could come breastfeed acted confused as to why she wasn't allowed to before I don't think this is the case at all. I will look into whether there was a medical reason given or not.
post #4 of 8
They would not let me breastfeed, or even hold, my first baby. He was in the NICU. 38 weeks, 7 lbs 12 oz. He was in there bc of trouble breathing. He was *fine* they were just covering their __. I was told I could not hold him bc he would get too excited. I cannot even go there now, if that happened to me today they would have to tear him away from me but it was my first and I trusted them.
Breastfeeding failed, btw.
post #5 of 8
My nephew was born at 36 weeks and hadn't developed a sucking reflex yet but he didn't have breathing problems. My ds1 was born at 31 weeks and was in the NICU for 9 days then the special care nursery for another 3 weeks. He was tube fed after the ventilator was taken out and could not feed by mouth because he lacked the coordination to suck and breath at the same time. There are many feeding issues that can arise similar to this as well as reflux and aspiration.
But you can't tell what's up until you try! I think the hospital is just not that interested in bf: They should have let her try and given her a pump! That way they could at least give the baby the colostrum. Also skin to skin contact is one of the best things for early babies.
post #6 of 8
Unfortunately, this is not unheard of. The most important thing now is to make sure she gets that baby to breast as often as possible. In addition, make sure she is pumping at least every two hours to build her milk supply and to give the NICU her colostrum/milk for the tube feedings. Your friend is going to have to be her own advocate now. Try and enlist the help of the LC and other staff that are BF friendly. Have her make her BF wishes clear and put them in writing for the chart. A patient advocate from the hospital can also be called. They take complaints on behalf of the patient and many times will give the added incentive for the staff to follow her wishes.
post #7 of 8
I really can't bear to write much about it, but the same thing happened to me. I had to wait 2 days to breastfeed my son, my first child. It was awful. We ended up changing NICU doctors, and were treated much better after my daughter was born.

But your friend absolutely can be successful at breastfeeding, even after a bad start. I'm currently 20 weeks pregnant, and nursing my 18 month old and my 3 year old.
post #8 of 8
Why would they tube feed the baby FORMULA instead of asking your friend to pump and give him BREASTMILK?

I would call as high up in the admin at the hospital as possible and complain, or ask how you can file a complaint.
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