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Date: | Tue, 21 Jun 2011 20:32:13 EDT |
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Dear Listmates,
Just wanted to share my delight at once again being able to listen to Dr.
Nils Bergman speak on perinatal neuroscience and skin-to-skin contact. He
spoke in Albany, NY, just an hour's drive from where I live. The man is
inspiring. I got some great ideas that I will bring to my breastfeeding class
to make it more empowering for parents.
I found it interesting that he brought up something that has caused me some
concern. I read in our staff meeting minutes from last month that a nurse
who attended a recent conference heard a well-known speaker say that she
doesn't feel that skin-to-skin contact (SSC) is all that necessary for
breastfeeding to succeed, and that just having the baby's cheek on the mother's
breast will do the same thing. This is what the nurse heard and reported
back to other nurses in a monthly staff meeting which I was not able to
attend. It is very possible that the speaker did not really say it quite that
way, but what Dr. Bergman said today confirms that this is the speaker's
feeling on SSC. I have been trying to get the nurses to offer mothers SSC right
after birth and as much in the days after birth that mothers are willing
and able to do. Our nurses interact with many women during prenatal testing
that women undergo on our unit, so they have an opportunity to bring it up
there, as well as in early labor. Very few women come to breastfeeding class
(I feel that the fee may be a barrier to many.) Knowing that I was not
going to be at the monthly staff meeting, I made copies of the fairly recent
Cochrane review on the benefit of early SSC, which our director handed out
to meeting attendees. This was also attached to the meeting minutes, but I'm
sure a nursery nurse reporting on a conference carries a lot more weight
than any attachment might. Pediatricians have also not been supportive of
SSC and do not see any harm in routine use of pacifiers soon after birth in
full term healthy breastfeeding infants. So, I continue to do my monthly
performance indicator for how many full term healthy babies born by
uncomplicated vaginal birth were in SSC with their mothers in the first hour after
birth. Usually it is less than 40%, and almost always it is babies whose
mothers plan to nurse. Sigh....
Mary-Jane Sackett, RN, IBCLC
Pittsfield, MA
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