Breast baby after C-Section and GD

I feel dumb for not thinking of the SNS! I've never used one though and don't think we even have them here, gonna have to talk to the OB supervisor about that since it seems we may have more patients that this Doc does this with.

.

I'm taking care of a mom who had gestational diabetes and had a repeat c-section. Babe was footling breech at delivery and had somewhat of a difficult delivery even though it was sectioned. Mom had 10 units of insulin night prior to surgery. Baby's blood sugar after 1 hour was 38 mg/dl. Our policy is usually to let mom nurse and then recheck in 1 hour if less than 40. Blood sugar was 42 mg/dl 1 hour after. The doctor actually wrote orders to recheck blood sugar prior to next feeding and if <50 give formula INSTEAD of breastfeeding. I kinda have issues with not even trying to let the baby nurse first and then give the formula.

(The same doc has another babe admitted at 3 days old with jaundice in which she told the mom just to stop breastfeeding and just pump for now. She did tell her if she got anything we could use it also.) Obviously we are NOT a baby friendly hospital. I really don't feel like we are helping these moms out by telling them to just pump.

The babe is now having trouble latching on and not opening it's mouth wide enough when trying to get latched on. I'm wondering if it might have nipple confusion already?

We have a few peds that want us to feed every two hours. Man I hate them. The Neos are much better.

.

Yeah--it is this one group of pediatricians. They drive me crazy. They want the baby fed every 2 hours until we get 3 AC's above 50. We are talking 20-30ml every 2 hrs. They will start IVF if the sugars stay low for too long, but when you have a baby that is being fed every 2 hrs with ACs in the upper 40's, the baby gets tired. Sometimes, if the right doc is on from this group, they will give an order for Q3hr feeds or that a 45 chemstrip is okay. The rest of them are butts.