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Infant feeding

Get advice and support with infant feeding from other users here.

Hunker's DS2 and low blood sugars...

64 replies

hunkermunker · 21/01/2006 00:39

So, about 20 minutes after DS2 was born, he fed and fed well. His blood sugars were taken a couple of hours later and were 2.4, which was "borderline" - they wanted them to be 2.5.

This went on for a few feeds and he was 2.9 once and 2.4 a couple of times, then in the middle of the night, he dropped to 2.1.

And then the "fun" began...

The midwife who did the test said that she was worried about his blood sugars and she wanted to top him up with formula...

Er, no, I said. No way. I would hand express colostrum if she brought me a syringe to express it into.

She frowned at me and said she didn't think I'd have enough. How much did she think I'd need, I asked. 30ml, she said

So, I fed him, I hand expressed (5ml) and he had that and still his sugars weren't high enough.

A paediatrician came up to see us and repeated that formula was the way forward... I said no.

Fed and had sugars taken the rest of the night, then in the morning things looked a little better, with a couple of 2.4s in a row, but still not high enough.

Paed who came to see us in the morning asked if I was "medical" as she'd had no idea you could hand express colostrum

I said I wanted to go home, but they weren't happy to let me, so brought up another paed (top guy, apparently - he was very nice). I was going to discharge myself, but decided to stay in and make sure DS2 met their "targets". I had a lovely midwife on my side by this time who promised me an amenity room too, which swayed things - the ward was a vile experience!

Paed said DS2 needed two consecutive readings of 2.6 or above or he wanted him taken to the neonatal unit and given iv dextrose. The first was 3.2 (woohoo!), the second was 2.6! I filled in a feed chart overnight and he fed 11 times in 12 hours - my milk came in this afternoon, earlier than I'd expected.

So we were discharged today and I feel quite proud of using nork power It saddens me that the health professionals who are meant to support breastfeeding are so quick to resort to formula.

OP posts:
Gillian76 · 21/01/2006 10:21

Good for you Hunker. Some of the really need standing-up-to.

Glad you're both home safe and well.

Enid · 21/01/2006 10:23

you mumsnet heroine!

Good on you hunker and glad you are both home safe and well x Enid

tiktok · 21/01/2006 10:39

Hunker, great story. Clinically, you were treated very poorly. There is a wide range of consensus about what is normal with blood sugars in a neonate

here's a medic's site that acknowledges this and
here's another one about babies born to mothers with gest. diabetes which points out that the best fluid for low blood sugar is (whaddaya know???) breastmilk.

If a baby has low blood sugar (bearing in mind his 2.4 was normal, as was his 2.1, according to some studies) then the response should be (as you know, and they didn't) extra colostrum, with skin to skin to encourage lots of direct feeds. This is nature's own way of ensuring normal blood sugar levels.

How about you write to the hospital (copies to director of midwifery, director of paeds) asking them to review their protocol in line with research (including Cochrane, referenced in the 2 studies I have linked to)?

tiktok · 21/01/2006 10:41

Sorry, my mistake, no Cochrane review on low blood sugar in neonates...plenty of other studies though

cori · 21/01/2006 10:49

Good for you.
Sorry to go off topic, but exactly how 'vile' was the ward experience?

Skyler · 21/01/2006 10:50

Yay well done you!!!!

puff · 21/01/2006 11:12

Well done Hunker

hunkermunker · 21/01/2006 11:24

Thanks, everyone - Tiktok, very reassuring links. I KNEW DS2 was fine - and I will be writing to the hospital (again - God, the bfeeding "advice" I heard whilst on the ward was shocking - will start another thread re ward experience though as it was quite funny in parts!).

Was laughing to myself though at telling you lot that the midwife said "I think he needs to be topped up" - I felt like drawing myself up to my full height (ha!) and saying "But I am Hunkermunker, Queen of the Norks!" (postnatally I get a little more deranged than usual...!).

OP posts:
WideWebWitch · 21/01/2006 11:28

Good for you Hunker, Congratulations!

colditz · 21/01/2006 11:31

PMSL at the Queen of the Norks!

Yes, I too was deranged postnataly

My friends (mostly childless) still talk about "The Time Colditz Went A Little Bit Odd."

Well done for seeing them all off!

harpsichordcarrier · 21/01/2006 11:32

funnily enough I was just going to post - hinker, queen of the norks!
well done mate

roosmum · 21/01/2006 11:34

WELL DONE hunker & ds2!

but, man, bf 'support' sounds like a disaster round your way! i'd love to think that they'll have learnt something from you, but guess that's prob wishful thinking
do write when you get a chance, if we were all as clued up & motivated as you perhaps all negative things re bf could be changed!
(ooh you've got me all exercised on this now )

hunkermunker · 21/01/2006 11:36

I did tell the last consultant who saw me to mention to his colleagues that it was probably best if they didn't mention the f word to me again

OP posts:
jessicaandrebeccasmummy · 21/01/2006 11:37

Well done you!

I knew bits of the story anyway, but you really do make me laugh!!!

hub2dee · 21/01/2006 11:44

Hunker 'conviction' Munker.

Well done.

Now, would you like some vinegar with your starchy starchy chips, hun ?

Congrats. X

kiskidee · 21/01/2006 11:58

wish i could have been fly on the wall when midwife said "top up with formuala....!"

hoxtonchick · 21/01/2006 12:01

all power to your norks hunker

SorenLorensen · 21/01/2006 13:02

They offered you formula? Oh pmsl

Ds1 was given a bottle of formula in hospital because of low blood sugar. I didn't know enough to object and luckily I went on to breast-feed successfully. Sounds like things haven't changed much

Littlefish · 21/01/2006 13:08

Do you give lessons in Nork-Power of Queen of Norks? Can I come to classes if I ever have another baby?

Littlefish · 21/01/2006 13:09

Should have so "oh Queen of Norks"!

suzywong · 21/01/2006 13:12

hip-hip-hurrah for Hunkermunker's Norks!!!!!!

Hausfrau · 21/01/2006 13:33

This reply has been deleted

Message withdrawn at poster's request.

mears · 21/01/2006 14:43

Well done Hunker. This subject does my head. Our unit classes low blood sugar as less than 2.6.

The paediatricians will just not be moved on it. Some midwives just bow down to pressure. Others like (guess who?) would have endless arguments.

Did you not manage antenatal expression for top up stored Hunker? That is the way are approaching it for diabetic mothers to avoid the formula carry-on.

dinny · 21/01/2006 16:36

well done, Hunker - I had v similar story with dd but (as you know) I succumbed and agreed to formula as she had probs latchng - to my eternal regret.

so well done you. xxx

misdee · 21/01/2006 16:44

my dd was forced to have formula they told me at 11pm she needed it and they wanted her in SCBU now! my lovely midwife had gone off duty (we had been exporessing colostrum, and breastfeeding every hour.) but dd3 levels were 1.soemthing, which i guess is dangeously low? I refused to let them give her a bottles, so she was tube fed.