We were discussing yesterday at our monthly unit meeting ways to increase 
immediate sts care after delivery.  The L&D nurses were saying that "most" 
moms did not want to do it.  We explored how this concept was being 
presented to the parents and learned there were some ways we could change 
verbiage and practice on the staff's part.  Our director suggested that the 
LC go in while the mom was in early labor and introduce the concept of sts 
and encourage the mom to accept the baby onto her bare chest immediately 
after delivery.  This might work, as we do very few "unscheduled" births in 
our institution.  My thinking is that I would make rounds in L&D daily on 
the moms who were there for an induction and talk briefly with them about 
the importance of sts care for successful initiation of breastfeeding.  We 
give every mom a short tri-fold pamphlet on sts care that I wrote several 
years ago as part of their admission packet to the PP unit and I was 
thinking of handing her this pamphlet at my first contact with her with the 
hope that she (and her partner) would spend a few moments reading this.
Is anyone else doing this or something similar in their L&D unit?  Have you 
found it successful?  Have you encountered any problems?
Thanks for your input.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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