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WAKE BABY Unwrap Baby, use gentle stimulation Cool wet cloth to face and head

BREASTFEEDING MANAGEMENT FLOW CHART FOR TERM INFANTS FOR FIRST 3 DAYS POSTPARTUM (NO MATERNAL RISK FACTORS).

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WAKE BABY Unwrap Baby, use gentle stimulation Cool wet cloth to face and head

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  1. BREASTFEEDING MANAGEMENT FLOW CHART FOR TERM INFANTSFOR FIRST 3 DAYS POSTPARTUM (NO MATERNAL RISK FACTORS) FIRST 24 HOURS: Breastfeed within 1 hour of birth . Consistent skin to skin contact encouraged. Support breastfeeding attempts in response to early feeding cues at least every 3 hours. Evidence of at least 3-4 effective feedings in the first 24 hrs is desired. AFTER 24 HOURS: IS BABY WAKING AND FEEDING EFFECTIVELY EVERY 1-3 HOURS (building up to 8-12 feedings in 24 hrs)? No • WAKE BABYUnwrap Baby, use gentle stimulation • Cool wet cloth to face and head • Skin to skin contact • Breast compression/ massage if baby sleepy at the breast Yes Yes • IS BABY FEEDING EFFECTIVELY? • Good positioning and alignment • Bring baby in close with chin first • Long jaw glide with audible swallow and maternal comfort Continue 2-3 hour feedings ACTIONS: Report negative findings to MD.Refer to Lactation ConsultantSupplement as per policyMethod dependent on baby’s condition*If supplementation is medically-indicated, always give expressed breast milk first No Present • ASSESS FOR: • Factors that may inhibit the baby’s willingness/ability to feed effectively • Dimpling/clicking while feeding, nipple pain, sleepy baby, frantically hungry baby • Signs and symptoms of hypoglycemia, sepsis, hyperbilirubinemia (non-hemolytic) and dehydration • Excessive weight loss (>10%) WITH no breast changes AND baby frantically hungry/ sleepy at the breast Not present FIRST 24 HOURS: encourage mother to manually express drops of colostrum into teaspoon/cup and feed baby AFTER 24 HOURS: Wait 1-2 hours and repeat cycle of observations and actions

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