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Donna Marie Forum All-Star
Joined: Feb 07 2005 Location: New Jersey
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Posted: Nov 21 2008 at 2:04pm | IP Logged
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Does anyone know the most recent information about breastfeeding an infant before surgery? My ds Peter James has to have hernia surgery Monday. My hospital says the baby must fast for 4 hrs. I just want to make sure that is exactly what he must go through...poor little guy. He is only 5 weeks old and the first few feedings of the day are always heavy ones.
Thanks so much for your help!
Donna Marie from NJ
hs momma to 8dc!
__________________ God love you!
Donna Marie from NJ
hs momma to 9dc!!
Finding Elegant Simplicity
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wifemommy Forum All-Star
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Posted: Nov 21 2008 at 2:37pm | IP Logged
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That sounds about right I know it is hard but the reason they do this is to prevent him from vomiting and having any of it end up in his lungs while he is sedated that could lead to pnuemonia and other bad things. So 4 hours though hard definately beats the alternative and I promise he won't remember Annie
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mathmama Forum All-Star
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Posted: Nov 21 2008 at 2:41pm | IP Logged
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If he is allowed to have clear fluids he can nurse as breastmilk is considered a clear fluid. I would ask if he is allowed clear fluids and then I would double check with an LLL leader in your area (or you could PM Mary Ann, momtomany, as she is a leader). Four hours of fasting isn't too bad, but I agree I wouldn't want to put my lo through it if it weren't necessary.
Good luck and prayers for your Peter!
Beth
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nissag Forum All-Star
Joined: Nov 23 2006 Location: Massachusetts
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Posted: Nov 21 2008 at 3:14pm | IP Logged
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Oh, poor little man. I'll bet his first feed after surgery will be blissful for him. We're praying for you all here, and especially took his surgery and his doctors with us to Mass last night.
Blessings,
__________________ Nissa
Deacon's wife, mother of eleven, farmer, teacher, creator, cook.
At Home With the Gadbois Family
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mrsgranola Forum Pro
Joined: Feb 17 2005 Location: North Carolina
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Posted: Nov 21 2008 at 3:19pm | IP Logged
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Donna, I'm a newly retired LLL Leader of 12 years. I do not think a 4-hr. fast for an infant is now called for as necessary. I'm not sure where to point you except to check with your local LLL area network to get the references so you can talk to the doctor about this. 4 hours is an eternity for a newborn with the stomach the size of a walnut, give or take.
You can get in touch with your local LLL group and their area professional liason thru the www.llli.org site.
HTH!
Praying!
JoAnna
__________________ Mom to Jacob, Grace, Mary, Lucas, Emma, Carrie and Gianna
Parente Adventures
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LisaR Forum All-Star
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Posted: Nov 21 2008 at 6:46pm | IP Logged
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mrsgranola wrote:
I do not think a 4-hr. fast for an infant is now called for as necessary. |
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the children's hospital here says 2 hours, but most of the nurses will tell informally 90 min is fine.
I would not feel good about 4 hours, even for a 5 MONTH old!!
__________________ Lisa
dh Tim '92
Joseph 17
Paul 14
Thomas 11
Dominic 8
Maria Gianna 5
Isaac Vincent 9/21/10! and...
many little saints in heaven!
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LisaR Forum All-Star
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Posted: Nov 21 2008 at 6:46pm | IP Logged
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PS, we've been praying for you all!
__________________ Lisa
dh Tim '92
Joseph 17
Paul 14
Thomas 11
Dominic 8
Maria Gianna 5
Isaac Vincent 9/21/10! and...
many little saints in heaven!
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Angi Forum All-Star
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Posted: Nov 21 2008 at 8:49pm | IP Logged
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When my twins were little, 6 weeks, one had to have anethesia for an MRI. 4 hours was recommended at that time due to her small size, and it was 4 hours for clear liquid. We were able to give her a pacifier at those times, but it was hard. She only really fussed for about the last 1/2 hour. It was also the only time we ever put her in a baby swing. The hospital had one for us to use.
If you do have to do the 4 hours, just try to have extra hands for if baby wants to nurse, a carrier for him to feel secure.
He will make it through. Do not be alarmed if he does not want to nurse right when he wakes up.
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5athome Forum Pro
Joined: Oct 01 2005 Location: Texas
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Posted: Nov 22 2008 at 10:44am | IP Logged
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We just had this surgery for our littlest one last month. It was the same 4 hr fast. Surgery was quick and he nursed right away in recovery. I think it was hardest for me:) He had a spinal block for post op comfort which really helped keep him calm and content for about 24 hours before the soreness kicked in. We also opted to do an exploratory incision on the side without the hernia because over 40% have the weakness on both walls and it could mean a repair down the road for the other side. Both my dh and his twin had inguinal hernias as infants - just curious, do you have a family history of it??
__________________ Margaret
ds '93, dd '96, ds '99,
ds '01, dd '04, ds '06,
ds '08
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Donna Marie Forum All-Star
Joined: Feb 07 2005 Location: New Jersey
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Posted: Nov 22 2008 at 4:21pm | IP Logged
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Thank you all so much for all of your help and advice!
My eldest dd (one of the twins) had it on one side...other than that...we did not see it in any of the other children.
Peter James has it on both sides so that will add up to two small incisions.
I am nervous for him and his comfort to be sure, but I know he is in good hands.
I did call the LLL and they said 4 hour fast...
Well...keep us in your prayers for Monday morning..his surgery is scheduled for 10.
God love you,
Donna Marie from NJ
hs momma to 8dc!
__________________ God love you!
Donna Marie from NJ
hs momma to 9dc!!
Finding Elegant Simplicity
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Angie Mc Board Moderator
Joined: Jan 31 2005 Location: Arizona
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Posted: Nov 22 2008 at 9:40pm | IP Logged
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Preoperative Fasting
Breastfeeding when baby has surgery
Praying, Donna Marie .
Love,
__________________ Angie Mc
Maimeo to Henry! Dave's wife, mom to Mrs. Devin+Michael Pope, Aiden 20,Ian 17,John Paul 11,Catherine (heaven 6/07)
About Me
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LisaR Forum All-Star
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Posted: Nov 22 2008 at 9:46pm | IP Logged
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oh good!! I knew that I wasn't imagining the 2 hours for human milk, I'm glad you included the link.
my ds Thomas has had inguinal hernia surgery twice, no fun, I've heard that the younger children are for hernia surgery, the better. (he was 7 and 8)
__________________ Lisa
dh Tim '92
Joseph 17
Paul 14
Thomas 11
Dominic 8
Maria Gianna 5
Isaac Vincent 9/21/10! and...
many little saints in heaven!
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crusermom Forum All-Star
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Posted: Nov 24 2008 at 7:10am | IP Logged
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Praying here. My little guy had it when he weighed about 7 pounds. It was tough doing the fast - but we were told four hours too. Between the fast and the surgery and post op - make sure you can express milk so that you don't get engorged!
__________________ Mary
Army wife and Crusermom to 8 wonderful children!
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