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chantal

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chantal last won the day on October 3 2018

chantal had the most liked content!

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About chantal

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    Member

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  • First name
    Chantal
  • Last name
    Lau
  • Gender
    Female
  • Occupation
    Research Faculty
  • Affiliation
    Baylor College of Medicine
  • Location
    Houston TX, USA

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  1. chantal

    breastfeeding

    Pre- and post-weigh for breastfeeding need to be done in a very "exact" manner. Also you need a scale that gives you an average weight after a certain period of time, e.g., 10sec, computed from the number of readings taken during that time, as the baby likely will be moving. We have been using the Medela test weigh scale. The important detail is to weigh the infant pre- and post with the same clothing, diaper, etc... Do not change diaper if dirty. Do not add or remove anything baby had on at the start. It is used by the NICU milk bank at our hospital, Texas Children's Hospital/Baylor College of Medicine in Houston TX for many years. It is convenient for mothers breastfeeding in the NCU as they know how much baby has taken. The test-weight is used as intake in their medical chart. Some mothers who are worried about intake at home, will rent such a scale. I believe they can get it from our milk bank. With 1gm = 1ml it is very convenient. I have attached the article from Paula Meier 1996 which "validates" the technique. in Paula's article, she described a different scale. Hope this helps. Meier et al'96 TestWeigh.pdf
  2. chantal

    breastfeeding

    If fluid intake is of concern, could one test-weigh the infant pre- and post- breastfeed? This would not be realistic during the 1st few days of life
  3. chantal

    breastfeeding

    If fluid intake is of concern, could one test-weigh the infant pre- and post- breastfeed? This would not be realistic during the 1st few days of life
  4. Some mothers in single patient rooms miss the social interactions they can have with other mothers in open NICUs
  5. The clinical issues raised by late preterms may be better addressed as suggested by Jain & Raju (editorial attached): "The focus on the late preterm infant seems to have uncovered two other understudied gestational age groups, one on each side of the late preterm spectrum: studies related to “moderate preterm” and “early term” births,4 further highlighted our lack of understanding of consequences of early birth, even if it is by 2 to 3 weeks and the importance of maintaining the gestational maturational continuum." Jain&Raju'13 editorial (LPT).pdf
  6. In collaboration with my long-time colleague, Dr. Richard J Schanler we monitored the oral feeding performance of Late Preterm Infants (LPT) at his hospital using the Oral Feeding Skill (OFS) scale we developed a few years ago (1). The OFS scale helps differentiate between infant oral feeding skills and endurance (2). As mentioned above, depending upon individual hospital policies, LPT may be transferred to different levels of care. However, due to their relatively short hospital stay, it remains at times difficult to identify those that may be at risk for oral feeding issues. In our study, we observed that assessing the OFS maturity levels of LPTs at their first oral feeding can help identify these at-risk infants early on. We speculated that provision of evidence-based efficacious interventions that improve OFS may shorten hospital stay and decrease future re-admission. (1). Lau C, Bhat J, Potak D, Schanler RJ. Oral Feeding Skills of Late Preterm Infants are correlated with Hospital Length of Stay. J Ped Moth Care 2015; 1:102; (2). Lau C, Smith EO. A novel approach to assess oral feeding kills of preterm infants Neonatology 2011;100:64-70 (doi: 10.1159/000321987) Lau et al'15 (LPT).pdf Lau & Smith '11.pdf
  7. I have recently posted a series of short "educational" webinars addressing infant oral feeding issues. They can be found at www.chantallau.com or  on YouTube (https://www.youtube.com/channel/UC1a-zNccdoHt3BJJuZ62sig/featured),

    Please feel free to share, if of interest, with colleagues.

     

     

  8. chantal , welcome to 99nicu :)

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