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Worried about LOs upcoming surgery  

post #1 of 4
Thread Starter 
Hoping for some advice. DS (20 months) is an active nursling. He's most attached to his middle of the night session (between 2 and 4am) and his morning session as soon as he wakes up. He is having surgery for a cleft lip in just over two weeks. He's had one previous surgery, but was just 3 mos old then.

For this surgery, we were originally told that he could nurse up to 4 hrs in advance - surgery is at 9:30am, so his last session would be 5:30am. Well...we just had our pre-op appt with the surgeon and he says b/c DS is "so old" he needs to have his last session at 3:30am, which is 6 hrs in advance of the surgery.

We have to arrive at the hospital at 7:30am. I'm staring to feel very anxious about the time between 3:30 and 7:30. He can have pedialyte, water or gatorade until 5:30am, but I don't think he'll accept those as substitutes.

He generally sleeps better when I'm not in the bed, but he still comes running to me for his morning session when he wakes up. I've thought about sleeping in a different room that night and then starting some kind of really active play when he wakes up to distract him - maybe playdough or something he's never seen before.

I've also thought of changing the surgery to a later time of day, but we'd need to wait another 6 months to get in for that and this sounds terrible, but our plastic surgeon is not young at all and I fear he'll retire or something. He's very well respected in cleft repair and I'd hate to not have him around for our surgery.

It's frustrating b/c I thought all of this thru when we originally scheduled this surgery 6 mos ago, and now things have changed. It's difficult enough to send my LO off for anesthesia w/out me, and I really need to find a way to make sure he's not upset the morning of his surgery, which would make it nearly impossible for me to send him off.

Should I start trying to night wean him for the next couple of weeks? Or give gatorade when he wakes up and try to cut out the morning session.

Any suggestions?
post #2 of 4
In all honesty.. breastmilk digests much quicker than food.. like 90 minutes or so.. So 6 hours seems quite ridiculous. I'd stick with your original plan as this doc seems ignorant about breastmilk and digestion. I think kellymom.com has some info on surgery for lil ones and breastmilk digestion as well if you need extra insurance.
post #3 of 4
3-4 hours seems a more common recommendation for breastfeeding... 6 hours is for formula feeding.
http://www.kellymom.com/health/illne...y-surgery.html

http://www.askdrsears.com/html/2/T029500.asp

I'd either bring it up with your doctor or just go with the 4 hour you were originally expecting.
post #4 of 4
I would listen to the surgeon, I'd ask the anasthesiologist. We've always gotten to talk to them a few days before any of the kids have gone in for things to talk about what they can have, etc. I think it's always been 4 hrs for bm, but 12 mos was the oldest we had anything done when they were nursing. Does he sleep in the car? You might be able to get away w/ just driving him around for a while early in the morning instead of nursing and then there was always things to play w/ at the hospital once we got there that kept them distracted from eating.
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