I feel it is important to add in here that our hospital uses the CHG wipes/showers for every c/s, however, it is performed from below breasts to knees for 3 minutes. We perform skin-to-skin with all deliveries including c/s and nurse on the OR table if baby so chooses. We have support from our Chief Nursing Officer, Nurse Infection Preventionist, physicians, nurses, and anesthesia. I hope this helps you for any future push-back you will need to muster. (We are a baby friendly designated facility, as well :) We also had to push back to prevent the daily CHG "baths" that the rest of the hospital patient population must perform. As long as there is a value among the key stakeholders for human milk and the breastfeeding dyad, there is a hope for policies to align and support!
Sent from my iPhone TJ
> On Oct 12, 2015, at 20:56, Holly McSpadden <[log in to unmask]> wrote:
>
> Unfortunately, there is evidence, and hospitals' infection control departments are jumping on the band wagon...Here is some basic information with references, there's tons more on PubMed :(
>
> http://www.sageproducts.com/documents/pdf/education/studies_articles/ssi/Chlorhexidine%20Wipes%20The%20New%20Weapon%20Against%20SSIs.pdf
>
> Surely it can't be a good thing for the protection that skin-to-skin offers the newborn...
>
> Holly
>
>> Date: Mon, 12 Oct 2015 20:58:13 +0000
>> From: [log in to unmask]
>> Subject: Re: Chlorhexidine Gluconate wipes
>> To: [log in to unmask]
>>
>> This IS TERRIBLE. It would totally ruin the value of skin-to-skin as a transfer device for good bacteria for c-section moms. Ugh! Where is the evidence that increasing the "cleansed" area improves infection rates post-operatively?
>>
>> -----Original Message-----
>> From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Ann Cunillera
>> Sent: Monday, October 12, 2015 2:17 PM
>> Subject: Chlorhexidine Gluconate wipes
>>
>> Hi everyone,
>> My hospital is looking into the safety of using chlorhexidine gluconate wipes as a chin to toe wash prior to c-section deliveries. The protocol would be changed to using the wipes on the breast and chest area while we are currently only using it on the waist down. I am having trouble finding any evidence on the safety of this product as far as both skin-to-skin care and breastfeeding is concerned. Is anyone using this full body preparation in their hospital at this time? I would appreciate any feedback if you are familiar with this standard of care. Thank you so much!
>>
>> Ann Cunillera, RN, IBCLC
>> White Plains Hospital
>> White Plains, NY 10601
>>
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