>From: Becky <[log in to unmask]>
>Reply-To: Lactation Information and Discussion
><[log in to unmask]>
>To: [log in to unmask]
>Subject: Babies in the bed
>Date: Tue, 26 Nov 2002 20:46:35 -0600
>
>I work in a hospital with a manager who is very adamant about the rule that
>"no baby is to be sleeping in bed with its mother." Babies are encouraged
>to be in the nursery when mom is sleeping, but if mom wants to keep the
>baby in the room, it needs to be in the crib if mom is sleeping. I
>probably don't have to detail how this leads to frustrated babies,
>frustrated nurses, and non-medically necessary supplementation.
>
>I'm wondering how other hospitals, especially those without central
>nurseries and hospitals that are Baby-Friendly, have gotten around the
>risk-management folks and attorneys. The latest information I was given to
>justify this is that JCAHO follows the guidelines from the Center for
>Missing and Exploited Children regarding preventing infant abductions,
>therefore we must. Since the word of JCAHO is pretty much up there with
>the word of God, what do other places do? If a hospital really supports 24
>hr. rooming in, I really doubt that the nurses are going around taking
>sleeping babies from their mothers and tucking them into plastic boxes all
>night long.
>
>I just read the long document from the Center for Missing and Exploited
>Children, and this is the advice for parents:
>"Never leave your infant out of your direct line-of-sight
>even when you go to the bathroom or take a nap. If you
>leave the room or plan to go to sleep, alert the nurses
>to take the infant back to the nursery or have a family
>member watch the baby. When possible, keep the infant's
>bassinet on the side of your bed that is away from the door(s)
>leading out of the room."
>If this is what JCAHO wants, how do those of you with
>breastfeeding-friendly policies get around it?
>
>Becky Krumwiede, RN, IBCLC
>Appleton, Wisconsin
>
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Dear Becky,
We do not have a policy and it is not forbidden in our hospital, however
some of the nurses on occasion discourage it. Most are failry relaxed about
it. With the increased emphasis on skin to skin care for increasing nursing
success, we have become fairly lenient. The other positive is our security
system , which the tranducer on the umbilical cord remains in place until
the final discharge moment. Any removal of a baby from the immediate
maternity area would set off baby alarms. Hope this helps - we neither
condemn or condone - just take the stance that it might happen and that's
OK.
LuAnn Smith
York, PA
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