Yes, thank you, Janice, for pointing out that excellent article by Dr.
Linda Palmer.  I just ordered her book "Baby Matters" (no financial
interest) as I have seen excerpts here and there on the chemistry of
attachment that make such sound physiologic sense that I feel I have to
read the entire book.
Also, have to share an incident yesterday at the hospital.  Like many other
hospitals, ours has jumped on the bandwagon with new GBS/chorio protocols.
Is it my imagination, or are more women being diagonsed with
chorioamniotitis because they "spiked a little temp" in labor thereby
condemning their babies to a minimum of a 2 day course of antibiotics in
SCN?  Some of our SCN nurses/neos will allow a breast baby to be out in
mom's room ad lib (yea!) during their shift; others put the baby on the
time clock, only allowing an hour max for feeding.  This is upsetting and
confusing to the parents to say the least.  Yesterday, one of the SCN
nurses came up to me upset that I was "sabotaging" (her word) her baby
because I was encouraging the parents to room in as much as possible so
that nursing could be established.  The neo had told the parents that baby
could be out ad lib and that formula supplements (another battle) were no
longer needed.  So I did have MD backing.  The nurse was upset because baby
was out with mom and because this was so, she did not "have a baby to take
care of"!  The point was...?  I was struck speechless!  Who are we here
for?  Ourselves and our protocols?  Or the mother/baby dyad?  Needless to
say, I am working with the director of neo and the SCN manager on coming up
with a consistent written protocol as to the length of time these "rule
out" healthy babies can room in with parents.  Thanks for listening to my
vent.

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

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