"Breastfeeding information"

About: Medway Maritime Hospital / Paediatrics

(as a parent/guardian),

My daughter started vomiting recently and when she was still being Ill on Wednesday morning I called our GP to be told there were no appointments so I called 111 who advised my daughter needed to see a doctor and to request this from the surgery. I called the surgery to be told they have half day on a Wednesday and so a GP would call me to advise next steps!

The GP called and advised to go direct to A&E or call an ambulance. We headed to A&E in Medway Maritime Hospital.

We were booked in and taken to the paed area. Obs were fine and a deteriorate fluid challenge given.

We sat in the waiting room and carried out the challenge, I also breastfed my daughter as she is fed on demand and she was tired so wanted the comfort.

We then saw the pediatrician who examined my daughter and I confirmed she was sick after each feed, the pediatrician then asked if she was vomiting my milk and I confirmed.

She then advised me to NOT feed her for 12 hours and to only give dioralyte as my milk was irritating her tummy and making it worse.

I instantly didn't feel comfortable with this as breastmilk has the antibodies needed for babies and when I expressed my concerns about her comfort I was advised to use a dummy!

We were told should she be sick within that 12 hours to return immediately as she'd need an iv fluid drip.

We got home and I was concerned about the advise given so I contacted my local BFN breastfeeding peer supporter. Meanwhile my baby was so upset she was close to being sick so I decided to breastfeed her which instantly calmed her.

I continued to feed on demand and offered the dioralyte in between. She was sick again 3 times in quick succession so we went back to A&E and onto Penguin AU where she developed a rash.

We saw another pediatrician who advised she has viral gastroenteritis and to keep up the fluids milk and dioralyte and monitor her for dehydration.

I have since done some research and asked other breastfeeders and no one has ever heard of being advised to withhold breast milk. And even the NHS advise to continue feeding: http: //www. staffordshireandstokeontrent. nhs. uk/services/advice-for-breastfeeding-mums. htm

In essence I was given incorrect information and was given information for a formula fed baby as the advice is to avoid dairy as it is an irritant. Human milk is not dairy.

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Response from Medway Maritime Hospital

Thank you for bringing this to my attention. Without your daughter's details I am unable to look into this matter more deeply, however, should you wish to speak to us about your experience, then we can look into this further. In relation to you visit – you are quite right to continue to feed the infant breast milk, as during viral gastroenteritis, breast milk should still be given. Dioralyte can also be given to maintain and top up the infants hydration status. You are quite right that the Dr advised you incorrectly to stop the breast milk and that this indeed is more relating to formula milk feeding. I hope your infant is feeling better now and I shall use your comments in our next governance day as a training exercise with the team to make sure that everyone is aware of this guidance. Thank you for your comments and I would like to apologise for the incorrect information that you received. Helen Runcorn Matron ED Helen.Runcorn@medway.nhs.uk

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