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Date: | Wed, 17 Dec 2014 08:52:04 -0500 |
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Cheryl asks,
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I would like to change our work flow for the nurses at delivery. I need
to provide evidenced that delaying eye ointment and vit k until after the
first feeding is completed is ok. Has anyone already done this and would you
mind sharing your evidenced based resources? I have to pass this on to
our evidenced based committee to get approval. I realize this can be done
while skin to skin but would like to wait until first feeding is completed.
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Cheryl, AAP guidelines state that Vit K can be given up to 6 hours after
birth. Eye ointment is supposed to be administered by one hour. However,
there was an article not too long ago -- can't remember exactly when, about
whether or not all babies need to have it universally? Think it was in
Journal of Midwifery and Women's Health. But being logical here -- gonorrhea
is NOT going to proliferate suddenly in 61 minutes. It can wait until
after that first feed.
Jan Barger, RN, MA, IBCLC, FILCA
Lactation Education Consultants
Wheaton IL
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