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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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    Baylor College of Medicine
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    Houston TX, USA

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  1. This article raises the sustained concern/interest that I have had for a while pertaining to the “difficulty” for clinical practices to change when sound scientific information becomes available. As a clinical researcher, PhD not MD, working with preterm infants’ ability to feed by mouth, it is frequent that when I ask caregivers the basis upon which a particular approach is practiced, the response I get is that this is how it is done. In view of the interest I receive from practitioners re. my research, I have noted over the last two decade that very little change in practice has oc
  2. It is a very wise decision! I hope we will meet in 2021.
  3. chantal


    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 Co
  4. chantal


    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
  5. chantal


    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
  6. Some mothers in single patient rooms miss the social interactions they can have with other mothers in open NICUs
  7. 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
  8. 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,
  9. 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.



  10. chantal , welcome to 99nicu :)

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