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|A recent hospital birth I heard about had a nurse that removed "lots" of fluid from a baby's stomach. I'm sorry, but can you tell me why fluid in a baby's stomach can cause problems? Isn't breastmilk and colostrum fluid? I'm not talking fluid in the lungs - I'm talking about when they use a wall-mounted suction catheter and stick it all the way down a baby's throat.|
After 4 m/c, our is here!
I'm going to make this short as it's off-topic, but don't really feel like I can just ignore it -
Just have to express my strong disagreement with that statement. Maybe for some, although really, I haven't seen this attitude much among UCers. There's no way I would have done any suctioning on my UC baby if she'd been born at home. (At the hospital, she got a tiny bit of totally needless suctioning.) Somehow I just can't imagine reaching for a bulb syringe I didn't even have.
My second baby had a large amount of amniotic fluid in her stomach, and began vomiting it back up about 12-18 hours after she was born. I was told that it (a) should have been caught (how I'm not sure, but I was transferred to the peds ward shortly after her birth b/c postpartum was overflowing) and (b) they would have put a tube down her throat to drain it and (c) that this possibly contributed to her early reluctance to breastfeed as her stomach was full and possibly upset. I'm not sure what exact conclusion I've come to here. . . I just know what I was told by the nurses at the hospital.
Please see my Community Profile! about Asperger's Syndrome!
|I just attended a conference (the LLLI conference mentioned above) where Linda Smith, IBCLC spoke. She said that routine suctioning of newborns at birth is not necessary unless there are actual respiratory problems. In her opinion, the baby tongue-thrusting at the aspiration device might create a "muscle memory" that can cause breastfeeding issues later. Some studies she cited:
-Vain et al, Lancet 2004; 364 (9434): 597-602
-Anand, Runeson, Jacobson, J Pediatr 2004; 144: 449-54
And a couple more that I found with a routine PubMed search:
Evidence-based practices for the fetal to newborn transition.
Building evidence for practice: a pilot study of newborn bulb suctioning at birth.
Oronasopharyngeal suction versus no suction in normal and term infants delivered by elective cesarean section: a prospective randomized controlled trial.
After the baby is born my MW likes the baby to lay on his or her tummy for the first few moments to allow any fluid to come out of the mouth naturally. Of course this is immediately after birth just before nursing.
It just makes sense that if you put a baby on their back right away they are going to swallow and possibly choke on fluid but if you hold them a certain way (rounded back) and place them tummy down on Mama the fluid will come out on it's own.
so I am not for routine suctioning at birth and haven't done it for years but- I prefer a bulb syringe to a deelee-- and there are some studies that show that a bulb syringe gets as much out as a deelee-- so I don't know why the deeper suctioning devices are important at all- they are more likely to trigger a vagal response- that is where I am going with this-- normal babies even babies that sound a little juicy- if they are breathing and coughing and sneezing and sputtering- they are clearing their own airways much softer and healthier than I can do it--
and if a baby will nurse- even better because nursing clears airways as well and the viscosity of the colostrum dries out the lungs too--
I have a question about the stomach full of fluid thing...
Do we(they) know that a baby having fluid in their stomach at birth is bad? Is there any specific consequences that are citied for tubing and suctioning this out? It's not like it's a foriegn thing to thier digestive tract.
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