Infant wt. loss and IV

[Guest guest]

So tomorrow my son will be having surgery to repair his previously dislocated

ankle and fractured tib/fib! I believe in healing energy so if you have any to

spare, I would welcome you sending it to my son Sorry...off topic,

but stay with me!

I have been gathering the references that have been sent to me regarding

maternal IV use and infant wt. loss. I am going to be reading this to distract

me during the procedure!

I don't have enough literature yet to keep me occupied for the whole time, so

please, if you have references that I can access (I'll take an abstract and try

to get the whole article)...please forward your suggestions! Now is the time. My

intention is to attempt to, for myself, truly understand the mechanism of

transfer, and grasp the degree to which this potential transfer may inflate

infant birth weight etc.

Part of what inspires me is my general inquisitive personality, and honestly,

even more so, I teach and train birth professionals, and all of you who teach

here will understand what I mean when I say there is little more to inspire our

understanding than a student inquiring, " ...but how, or why?? " I love those

students! They keep me on my toes! I don't like to repeat something just because

I read it stated somewhere, I want to understand it. And this awareness can

subsequently be translated to my students and my clients.

So if any of you now feel inspired to help me...bring it on. I will report back

my findings if any of you are inclined!

Thanks so much.

[Guest guest]

Excessive IV Fluids During Labor

n

May cause:

n

Delayed onset of lactation

n

Breast nipple, and areolar edema on the

second or third day postpartum

n

Infant

latch-on difficulties

n

Nipple

pain

n

Poor

milk transfer

Hartmann

PE, Mitoulis LR, Kent J, et al. New insights into

breast physiology and breast expression. Presentation at the ILCA, 2002

Excessive

IV fluids during labor May impact the infant by causing:

–

Hypoglycemia

–

Electrolyte

imbalances/Hyponatremia

–

Transient

Tachypnea

–

Jaundice

–

Separation

of the breastfeeding dyad negatively impacts early bonding and breastfeeding

relationship

Jawalekar S, Marx GF.

1980. Effect of IV fluids on maternal fetal blood glucose.

Anesthesiology 53(3):311S

Sighi S, Chookang E,

Hal J, et al. 1985. Iatrogenic neonatal and maternal hyponatremia

following oxytocin and aquesouis glucose infusion during labor. Br J Gynecol

92:356-363

IV

Fluids During Labor

n

May cause over-hydration in newborns.

IV

PO

Fluids

6.17+/-3.3%

4.07+/-2.2%

n

Infants of mothers who have had IV

Fluids have an average of 2.1% greater weight-loss than infants of mothers who

have received only oral fluids

n

Excessive weight loss during the first

few days of life is often a reason for supplementation of breastfeeding babies (Dahlenburg,

Burnel & Brabrook, 1980)

Marie

Farver