Yes Jan,

That's exactly right, we don't ask..we do.  It's a standard of practice in our hospital.  More than 90% of our babies go s2s immediately after a NSVD and 60+% in the OR for a c/s (we've bench marked at 80% and thought we weren't going to reach it...but you know what?  I think we are!),90+ in recovery. It has been a journey and taken a few years, but we're there!!  

And for the record?  I work in an urban city hospital with approximately 68% of my pts receiving WIC and MULTIPLE diverse cultural backgrounds.  

We don't ask, we do.

And we have worked tirelessly to get all of our colleagues on the same page (OB, Peds, Anesthesia).  Our clinical educator and I will be presenting that at AWHONN this year "Skin to Skin in the OR: It takes a Village"
We also submitted our journey to Advance for nurses and were named Runner Up for Nursing Team 2013.

(sorry...just had to brag...a little)

So it may be a challenge, but honestly when you just put them s2s as the standard of practice they just accept it.  
Who knew? :)

Denise Bulpitt RN BSN IBCLC
St. Vincent's Medical Center
Bridgeport, Ct.  

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