Best things for NewbornsThe best for newborns
Under certain circumstances, infants may not be able to take in breast milk. Breast-feeding a infant either conceived early or with complicated medical needs was not easy for most of the women we talked to, especially if they were ill themselves or recovered from an operation. Eventually some mother were able to introduce breast-feeding, but many could not or did not decide that it was best for them and the infant not to try any further.
but he couldn't hold on. Claire said breast-feeding is a "big thing because you have the feeling that you can't do anything for your baby" and many babies said similar sentiments. The only thing they could do as parents to help their babies was when their babies were seriously ill and looked after by the NICU* team.
"Barbara, there was nothing else I could do for my baby." Very few things I felt as if I had full command of it while I was there, and one of the things I could really keep full command of was pumping it. Think it was one of the things I wish the clinic had done for me a little more.
For the first part, parents say, "Here you go, expedite. In other words, for two and a half month and after two and a half month she began to breastfeed. "This is my first child, you know. Viktoria said it was the hardest and the best - a "duty" that can be said, but the best she can do for her early aunt.
He was at great danger of becoming sick with necrotizing intestinal Enterocolitis (NEC)* and had been warned that breast-feeding was better protected than the use of breast feed. For her, nursing really was a matter of live and die. Ultimately, they found a breast-feeding consultant who helped them because they did not have the feeling that the clinic personnel was able to provide sufficient counsel.
That' s a very good one, I probably appreciate the parts I should think of, one of the things I think is to express, because one of the doctors said that you were so good to go on, because my feeling is that infants who are so early in life that mothers usually don't make it home to breast-feed them, and I can fully comprehend why [laughing].
So I thought that a few moments actually I would really like to try to motivate mothers who might find themselves in this position and with only practical aspects, because if you have to do it eight and a half times a diurnal, you get your chest out eight and a half days to do it, and if I do it, then within the first three workingdays we have formed a brassiere that we could just put in, you could just put the hopper in, you could put things in so that I didn't have to take off my clothes.
Seems crazy, but when you're there in the infirmary and you leave almost three or four nights to say something, because although you can do it by the bed, there wasn't often that much room or when someone has to do something, you're in the way, so it's not very convenient.
So in [ city] oh the door, you know, you could be spending 5 min to get on the unity or go into the space of expression and then get out of the space of expression back to the unity and oh the frustration. You' d waste a great deal of your precious little girl your child has, so anything you could do to make her faster, like your fitted brassiere.
Then only to motivate mothers to hold out. Just now, nursing showed me how important that was. As it was, I never noticed that you can feed your baby and I never noticed that you can take it out when they said: "Do you want to feed", I was like "Yes" because I just assumed that my baby would come in, I don't know what I actually thought, I didn't know it would come then.
I didn't think for some odd sake that my bodies would start breastfeeding in August and I would just get all this breastfeeding, I didn't know it, I don't know why it must have been from a particular infant point on that I was born.
However, when I began to get help to get my breast out, printing my life[laughs] really became every three and a half hour and once every day and I did it soundly for about four month. I let myself get a good night's rest because you're just worn out, but yes, I did, quite exactly, but obviously with a lot of pressure, when you're sleepy and your diet isn't good, when you haven't had enough to drink, it affects your river, it has me.
I tried to get my river going again, but it was easy, it was just tough, because I had been saying it for five month, you know, now you should wean your little girl off technical and besides, it's not just an expression, it's not just like a mother who had a neonate and pushes her because she can't breast-feed at that point, I didn't get Bobby's scent, I didn't get Bobby to suckle there and do all the things the little girl does to help you make it.
it' s a completely different task right now, but you want to do it because you want him to have the best, but I thought I had so much cream that it would have helped him to about two, but we went through almost five moths with the drained cream, I had a full fridge, my mother had a full fridge, we went through it in about six week, it just went away.
Yes. And we had to really like it, we had to gradually get Bobby to go with the slogan, but yes. It' s like I nursed a good two whole week, not firmly, because I obviously wouldn't be there over night and they had a little bit of a flask to give Bobby food over night, but I just couldn't, I couldn't get my power up enough to nurse him, I would like to, but I would have liked to nurse Bobby until he quit, but unfortunately I couldn't.
However, we spoke to the physician and I recall her, especially an ICU physician who worked all over the clinic and who, you know, was actually on the beeper for the follow-up. how it somehow came through my t-shirt and so, like all the masculine physicians found it all, you know, you could say really awkward ly, you know they came by and tried to have a serious talk with me, and I'd be like going on and you got parts of the nipple pressed out and so on and I happily filled every icebox in the clinic with fresh milk because I wasn't ready to pump yet and I was, you know, stop at that phase, I had that I just had to, you know, stop at that phase, I was really awkward, you know they came by and tried to have a serious talk with me, and I would be like going on and you got parts of the teat pressed out and so on and I would happily fill every icebox in the clinic with fresh cream because I wasn't willing to pump yet and I was, you know, stop at that phase, I had that phase, you know, you know.
Some of the women we talked to felt well assisted in their expression and breast-feeding. At the age of 10 years Vanessa brought her boy back to the clinic for his surgery for Hirschsprung's sickness. At home she had breastfed and valued the help she received at the clinic.
Sisters opened an empty station for her and another pair of mothers to use for breast-feeding and lingering. Yes, when he had his surgery, I did it because I was anxious to be able to keep feeding him, because he was such a good feeders and I fed my other little boys as well as I said, and they had a way when we were newborn, she said: "Breastfeed" and I said: "Yes, I'll try it" and she said: "Yes, that's good, it's better to be able to because it' s easy for her to stomach any intestinal problem.
I mean, I would have done it anyway, but this kind of reinforcement like yeah we want this to work and it was like one of the good things when I had to stick with him because I went back to the neonatal station after they were a few working days old, you know how long you stayed like this because I obviously didn't have him with me, usually the Baby is on the neonatal station, the mother and father can't stick around.
Yes, yes, yes, yes, yes. They opened them again for me and two other mothers and so that we could remain there, because I think they had no place for us in there in the Neo in the Post-Natal station.
Then they opened this and we could remain there and the infants were still in the neonatal wards. It was just so I could breast-feed him because they wanted it, we wanted him to be breast-fed, and with the other mothers because their infants were too early and they were just getting to the step where they could try to breast-feed them so that they were back as if we were doing it.
Yes, I gave my feed back at the time that I thought it was really good that they did that. Our nursing staff helped them to empty some of the blood for him, which they feeded through a pipette and then through a flask. Insufficient assistance But some women did not have the feeling that they were receiving enough assistance in their effort to breast-feed their baby.
Both Angie and Luke were very frustrated that when they brought their boy to hospitals for his Hirschsprung condition surgery, the promising breastpump was not available for Angie. When Barbara was angry that she was still voicing a mother-midtainer, she tried to order her a nursing mother lunch in clinic, but the nursing assistant sister thought she didn't need it because her baby was in an Incubator, she said, "But she doesn't breastfeed, does she?
Yes, it is. We also had the chance to look around the gynaecological clinic in the newborn ICU. One thing I found inappropriate was actually nursing. So I got in touch with the nutritionist of the women's clinic on my own. However, here too I think that it depends very much on the child and the very medical side of things.
Regular talks like breast-feeding do not therefore have a tendency to occur. Have you achieved anything prematurely with breast-feeding in relation to the information or? Yes, I got some early information about how to express myself and how to give it to the [son]. Also, and this was a big problem for me, I found that they pasteurized the milks they donated to the milkbank in the children's clinic, but they sterilized the milks and pasteurized them.
What obviously absorbs much of the kindness of the milks and that is not the same politics as with the kids, the women's hospitals and I didn't have the feeling that I was getting it. Thus it had no great influence, but I, they would not keep the pasteurized for us.
I had to pump the water, take the breastmilk home, take it every workday. Couldn't use the milkbank at the children's infirmary. What, you know, bad babies, you want to do the best of them and do it again, that was a really concrete example that he doesn't really get the same kind of nursing or environmental quality that he would have gotten in the newborn ward.
And the other thing that wasn't great was the help for me that I wanted to breast-feed, so, you know, with everything that was going on, I was, you know, that's what I have to do, and it was actually my own Midwife, my own parish nurse who sort me out with a pumps and all that and that and that, and because I had a hint,
I am a doctor and I had breast milked a kid before I knew what had to be done, but if I hadn't had that or hadn't been decided or asked a question, nobody said a thing about it, nobody was interested, because as for the doctors, this little girl wasn't getting any food for three whole week anyway, you know, and I just don't know, there was just no anticipation, but for me it was really important because it was something I could do.
So, yeah. They had a small room where you could go to this pathetic place that, you know, they also had gear there that I could rent when I was there during the days.
I' d go into that little room with a plunger, and in a way that was beautiful, too, because it was a time-out from stare at diseased infants, you know, so I' d go away and do that. You didn't really get backing for it in the beginning?
Oh, you know, a mother's been here all morning, it would be okay if I gave her -" because there was a round and I had been missing, there was only a narrow space to get dinner in the dining hall, and I had been missing that, so she said, "Can I just give mom something to get something to eat from the car, I think we can do that for breast-feeding, I think we can do that for breast-feeding," she said.
And the nursing assistant said, "But she's not breast-feeding, is she?" because my babe couldn't feed and I wanted to beat that girl, it was the most sensitive thing to say to a mother who sits every three hour and set her clock to do that, you know, she didn't even want to give me a free lunch. Yeah, but, you know, I was decided, so I did, and as I say, it was what I could feel, so I was possessed by it.
No, I couldn't do anything else for my little girl, I couldn't even collect her here, I couldn't even give her any food, I couldn't console her when she cried, I couldn't do anything. So, yeah, it was something I could do and actually it worked, you know, she, I breast-fed her for 15 month, so fuck her all.
A few mother felt that too much stress was put on her to nurse or squeeze for her newborn. For over a fortnight, Shanisse tried to feed her boy, who suffered from gastritis, but it never really worked. A few infants with a ostomy are unable to take breastmilk, and Mary felt that the pressures she was put under to give off blood for her boy were unreasonable.
I breastfed him at first and the performance was very high and he actually was, you know, he took it well, he actually seemed to be doing well. However, the production was very high and he lost a lot of body mass and so when he was, I think when he was about two week old, he was under his childbirth mass, which I know may be quite frequent, but not in two week's time... So I was shown that kids with stoma's can have a difficulty taking breast or normal breast because they know that the ostomy is somehow high and does not go through the colon.
Not quite understanding how widespread this is, I think that about 80% of the kids don't eat it. I found out that on the Sunday he wasn't taking, the Sunday he was about two week old, he lost a lot of Weight and there was a proposal that we should try him on Pepti-Junior, which is a decayed breast milk that might be better for kids with stoma's*.
What I wasn't said was that the test would take about three whole day to come back, but in the meantime I should keep nursing it if I had it. That'?s how I dryed out my mother's mommy, then [laughter] and we put him on Pepti-Junior and he quickly started to gain more weight.
I can probably see that weaning breast milk was probably a subordinate optimum, because obviously we need to promote breast-feeding and breast-feeding is probably the only optimum one. Because I was quite sceptical about someone who promotes breast-feeding, I think I felt it so strongly.
Surgeons can split the intestines into one surgery and place the two ends on the abdominal walls. Normally you have no one on top of you with a Clipboard while you're trying to nourish your infant, either you do it somehow yes. She also didn't know, I mean that I was obviously only three week after breast-feeding, it could still have been really hard - she hadn't asked before, everything you know, whether things were going well or whatever, so it wasn't great, but it turned out she was doing well and within a few moments she got caught and ate.
Despite all the effort, some infants were too uncomfortable to breast-feed, or they were not able to take breastfeed and needed a specific breast feeding formulation that they could easier stomach. While Nicky fought for week to develop her dairy, in the end her boy was put on a specific dairy formulation because he was not able to stomach breastfeeding.
She tried to nurse her baby, but her exitomphalos and cardiac status indicated that she was too fragile to really make it. Ally and Zoe both tried to nurse their baby (both with gastroschisis), but neither of them ever really had a catch. It can be used to empty the gastric content after the operation or to deliver breast milk when the baby is unable to eat completely through the orifice.
NICU (Neonatal Intensive Medicine ) A treatment center for seriously ill newborns and neonates who need maximum levels of healthcare and health attention. NICU baby's often need help with their respiration. Every baby needs an operation and may have current defecation issues (vomiting). Necrotizing intestinal inflammation (NEC) NEC is a severe intestinal disease in very young children.
Infants can become seriously ill and an operation may be necessary to eliminate affected parts of the intestine. Next to the Umbilical Cords there is a small opening through which the baby's intestine passes into liquid in the mother's body and after delivery outside the baby's abdomen.
HDU babies in an HDU need slightly less supervision and health care assistance than in an ICU. Surgeons can split the bowels in one surgery and put the two ends on the abdominal walls.