Transition Nursery Hello Well, just when I thought things were getting better, I learn we are going to leap way back in mother baby care. The neonatologist and some of the peds want a 'transitional nursery'. They believe newborn problems are being missed immediately after birth. And they propose a 4 hr mandatory transitional nursery stay for all newborns immediately post delivery. I know there are instances when the physicians have been rightly concerned about poor infant assessment by staff. I recognize that the present method of 'herding up' all the babies each morning and parking them in the nursery until the peds are finished with morning assessments is a nightmare when it comes to one nursery nurse being able to handle newborn needs, peds questions, and physician needs. There are a host of problems that need to be addressed and changed to reduce problems. But...The mother baby separation issue is such a backward step...especially for breastfeeding. I believe we need to look at the present problems and work on those before we take a drastic measure like a mandatory transitional nursery stay. I am part of the management team and we are trying to put together an alternative solution to take to these physicians. We are trying to get our ducks in a row...fast. And I'm looking for your input. FYI...Delivery rate here is 2000/year. Questions for you: Does your hospital have a mandatory transitional nursery? If so, how does it work? If you have a transitional nursery, what are the benefits/drawbacks? If you have a transitional nursery, what are the pt satisfaction responses? How does a transitional nursery impact breastfeeding initiation and success? Do you work were there is an assessment team that goes to the rooms post delivery and watches over the babies for a few hours after birth? How does that work? If you are able to respond...please add any thoughts/hints on presenting a case to counter this. You can reply to the list or to [log in to unmask] Thanks in advance, Brenda Rockers, RN, IBCLC Conyers, GA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html