This is in regards to Renee Drake's posting.  I went to webpage and read the 
article.
I do admit that some of the author's observations are true.  I work at the 
this facility and we strive to improve the nursing care on a day to day basis.  
I also admit that we need to work minute to minute sometimes to get the 
babies to the breast after delivery and currently we are taking to task the LandD 
nurses who rush the process of skin to skin. When babies are brought to the 
transition nursery we request if NSVD babies where given an opportunity to 
breastfeed or do skin to skin, our numbers are poor.  Yes, we have a 60% cesarean 
rate, due to repeats and repeats from the Catholic Hospital which doesn't do 
tubal ligations.  We also have a high CS on demand from our international 
population and currently there is a VBAC policy.  This doesn't defend the failure to 
allow BF after a vaginal delivery. Wait til they see what we have in store for 
the hospital after ILCA.  
I am copying Mr. Biddulph's article and will bring it to the attention of the 
Nursing Managers so they can see what care that is inattentive to the 
patient's desire can cause as "trickle down".  
I wish the physician who did the delivery can realize how he affected the 
family's delivery.  Occasionally I will hear MDs speak of situations and ask them 
to advise DONA if they feel any one individual acted in an inappropriate 
manner.  
We are geared to patient satisfaction at South Miami and often even those of 
us who promote Birth As a Normal Event find us facing situations that are out 
of our control.
I am glad to see that the family appreciates the joy of a healthy baby and 
hope they can go forward and make the most of the rest of their parenting 
experience.
Thanks Renee for bringing the article to our attention, so I can use it for a 
positive tool to make change in a place that be a very special place to 
deliver your baby.
This is why it is essential for women to advocate throughout their 
pregnancies that what they desire is very important ...say it over and over again to all 
the associates in a practice, because the one who delivers you might not be 
the guy you usually use.
I told this to my daughters and I repeatedly reminded their docs as I dealt 
with them on day to day basis.  Currently we are waiting for next baby girl any 
day now to be delivered at SMH.  She waited for Grammie to get home from 
Chicagoland, where she learned more stuff to get the message across.  
Unfortuanately many of our patients really don't request anything more than their 
epidurals and "suites."
And they said Chicago was hot and muggy....us Florida girls thought it was 
like spring.
Lovingly,
Leanne Jewell RNC, IBCLC, LCCE, FACCE
South Miami

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