Victoria Nesterova writes:

<When I worked for the Maternal and Infant Health Project/JSI Ukraine,
we made a small and simple  teaching video on 10 warm chain steps (BTW
I did all the animation work so it is kind of my baby).
You can see English version on youtube here:
http://www.youtube.com/watch?v=hP5XMBppokU
Feel free to use it if you like it (it is public domain), just credit JSI >


Your baby is very cute indeed, Victoria;-) Congratulations on a job well done, and thanks for making it available!


These 4 routes of heat loss, physiological effects and the importance of preventing heat loss was stressed 40 years ago in the first ever (3 week) course given for physician-nurse teams, on Perinatal care in early 1971 at the University of Colorado . (This was where the original research was done that led to classifying babies as LGA, AGA, SGA, etc.)     


My hospital sent me (and I took my 15 month old nursling and my 9 year old son, and was graciously given lodging by a LLL leader and her family. She even nursed her occasionally when I was in class;-) One of the faculty was Dr. J. D. Baum, a marvelous pediatric ophthalmologist who did so much research on retinopathy of prematurity so common in that era. What a wonderful opportunity it was to meet and hear him!


My hospital provided this as training for my new role as Maternity Inservice Clinician (back when there was, to my knowledge*, no such thing as nurse practitioners or clinical nurse specialists or nursing specialty certification) when our doctors were avidly enlisting the help of the Nursing Service Office in changing from "standard OB" to "perinatal medicine'. 


But accomplishing this through means "virtually unheard of" in our culture then, has taken all this time for acceptance of the profound cultural changes so necessary to preserve the "warm chain" to be integrated into "routine" care!!! 


And my great-grandbaby Sophia Rose-Marie Cotterman was a recipient of this when she had a water birth two weeks ago tonight!!!  


K. Jean Cotterman  RNC-E, IBCLC (and lactosaurus)
WIC Volunteer LC,  Dayton OH

*We Are Out Here, Still Rearing Our Families ... - Wiley Online Library onlinelibrary.wiley.com/doi/10.1111/j.1552-6909.1980...x/pdfYou +1'd 
by J COTTERMAN - 1980 - 
We Are Out Here, Still Rearing. Our Families: Some Thoughts on Education and. Certification. JEAN COTTERMAN, RNC.

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