Jill and Nils Bergman have a new DVD - "Hold Your Prem". www
kangaroomothercare.co.za
Yes, Pat - from research to implementation is SLOW.
We *finally* have a new policy at our hospital. The vast majority of our
babies are born via Caesarean and we had been placing them skin-to-skin once
mother was out of recovery (about 30 to 60 minutes after birth). Now we
put them skin-to-skin in theatre (even if the mother has chosen to bottle
feed). They stay skin-to-skin for at least the first 6 hours, sometimes
longer. The results have been amazing. The mothers do not stop smiling.
They have the baby to focus on while being sutured and don't have to wonder
what's happening to their baby while they are in recovery.
Of course the babies are calm and the breastfeeding is so easy. We are
facilitating self-attachment. The parents are in awe of their baby's
capabilities. Babies breastfeed more often. Mothers aren't keen to have
their babies in the nursery at night - which results in no comps being
given! Some babies are passing changing stools by day 2 (previously only
sometimes seen on day 3 or 4).
Our paediatricians are completely supportive. The obstetricians tolerate
the change. Some anaesthetists are not too happy. The theatre staff were
won over with the very first mother/baby. Postnatal staff cannot ignore
what they are seeing.
I don't see skin-to-skin care as an intervention. Separation is the
intervention and those advocating it need to provide the evidence!
Jean Ridler RN RM IBCLC
South Africa [log in to unmask]
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