This for Polly in Florida regarding skin 2 skin in OR.? First where in Florida are you?
My Breastfeeding Committee is seeking to track our babies who get either breast or s2s. We have been looking at NSVDs for a few years and pretty well know which L&D nurses are taking time to put babies to Mom.? But this year we want to go to the OR. We are a 60% CS rate, not proud but that's the fact. So if we can't get babies to breast earlier than the transition time of 3-4 hours and sometimes 5 if we are busy and no beds we need to imprint Mom and baby to each other. I have heard the excuses...too cold, Mom not able to hold since arms spread out. Aneshesia will not like, Surgeon won't like or they go to fast or best yet RN won't like.
Having worked in L &D and know the OR I think it can.? 
I plan to enlist Clinician who supports it...Talk with anesthesia and docs. Babies can go to Mom and Dad like always but drop her gown 2 inches lower, open up warm blankets plunk baby on Mom have Dad put hand on top and place another warm blanket over them.? 5 minutes long enough to finish charting and then take baby to transition nursery as usual.? I see it as a no brainer. We can improve from 0% to >50%? premies with issues or babies on O2 or need or support to NICU will fall out but anything > our now 0% will be a big improvement.
I support your questioning the ones who think its not possible.? It will be our PI project if possible if presented to hospital PI forum it could go system wide.? The question should be why not??
Leanne Jewell RN-BC, IBCLC, LCCE,FACCE
South Miami Hospital, South Miami, Florida

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