My ED consultant colleagues requested that we run a series on “feeding issues” in Paediatric Pearls as it forms a part of the ED trainees curriculum and is a common subject to come up in conversation with parents in the ED. It seems appropriate to begin the series with an article on breastfeeding problems put together by our breastfeeding counsellor, Jo Naylor, and one of the current paediatric trainees, Dr Sarah Prentice. Their full article is downloadable here and I have reproduced some nuggets in this month’s Paediatric Pearls newsletter and below.
|Breastfeeding adequately?||Inadequate milk intake?|
|feeding every 2 – 5 hours for 20 – 40 minutes||infrequent feeds|
|3-4 wet nappies and changing stool by day 3||continued urates and/or meconium after day 3|
|pain free breastfeeding||painful feeds, ineffective sucking|
|weight loss < 10%||weight loss > 10%|
|baby settled between feeds||fretful, hungry baby|
Reminder: handout of local breastfeeding drop-in groups available here.
I intend to cover the following topics over the next few months (some of which have actually already been touched on in previous months): vitamin supplementation, formula milk, gastro-oesophageal reflux, starting solids, allergy, fussy eating, food refusal, dentition and use of bottles, healthy eating, obesity, eating disorders. Please do leave requests for other topics below.