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Why is are hospitals paying to staff nurseries so that well babies can go there at night and mom can "rest"? Just not cost effective. I work in a large maternity hospital and we do not have a place for healthy babies to be cared for away from their parents and it has been like this for many years. We do have a NICU and intermediate nursary as well as an "observation" nursery that is used for babies are well but need to be in nursery d/t medical condition of mom or other special circumstances.
I seem to remember (Marsha Walker?) commenting that from a safety perspective alone, healthy babies should remain with their mother.
Cordelia Merritt RN BSN IBCLC
> Subject: Re: overstimulation in the nursery and scrips for staff
>
> We have been discussing this issue at our hospital also. It is
> one of our topics for our breastfeeding task force. Yes
> part of the problem is moms want their baby in the nursery at
> night, but many mothers would prefer to have their baby with
> them but they are under the impression babies are supposed to be
> in the nursery at night. I tend to talk with the parents and ask
> how the night went and if they had baby with them. If they
> say nursery then I ask details, like whose idea was it, how long
> was baby there, did baby come back for feedings, ect. Of
> course I don't grill them on it! I fit the questions into
> the conversation. Many times the mom states baby was in
> the nursery 4-7 hours and they comment that they were expecting
> baby sooner and they wondered when baby was going to come
> back. It really surprises me when I tell mom she can ask
> for her baby or go to the nursery to get her baby and they say,
> "I did not know I could do that". I actually get this
> comment a lot. I try to explain to parents and staff that
> baby is not what is making mom tired and taking away the baby
> makes the problem worse and really sets mom up for some
> difficult first nights home. If mom is too tired to take
> care of her baby at night then we need to see what is causing
> the problem (i.e. an hour long professional photo shoot
> that day (a HUGE pet peeve of mine), too many visitors, ect..
>
> I find it ironic that every patient report has the "rooming-in"
> box checked, yet most babies spend a lot of time in the
> nursery. I think one of the things we need to do is
> revisit the true meaning of rooming-in and if mom plans to have
> her baby in the nursery then we should not check that box--it is
> misleading. If you were to do a study (using patient
> records) at our hospital you would find that 100% of our
> patients room-in!!
>
> I hope this doesn't sound too sarcastic, but this whole idea
> that mom and dad are too tired to take care of baby at night
> makes me chuckle because under most circumstances a new mom and
> dad have way more energy at their most tired than I have when I
> am at my best, and to think two perfectly healthy (and in most
> cases very young) adults can't care for their own baby at night
> makes no sense to me!
>
> Our nursery commitee has made new crib cards with our hospital
> logo. They look very nice. They liked the idea of
> the crib cards that have the 5 steps for successful
> breastfeeding on the back, so they put these on our new
> cards. All moms breast or formula will have the same
> cards. I like the first 2 steps because they are written for
> both breast and formula feeding moms and they state baby should
> be placed skin-to-skin after birth and #2 is baby should stay in
> the room during the entire hospital stay. We are trying to
> encourage moms that they need to do skin-to-skin and keep baby
> with them regardless of the feeding method. At least it is
> a start, anyway!
>
> Christine Lichte, BS, IBCLC
>
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