Thank you Tricia,
please share my letter if you think it would be helpful.
With only one correction. I had my baby in Israel, not US.
But...
I have to say that the baby, I had a bit over 4 years ago was born in the
same hospital and I found a lot of changes, most of them disappointing.
Four years ago we (I, DH and our Doula) were allowed to hang out before
being admitted for over 10 hours. Then very calmly, without pressure
admitted and left to do our thing with midwife popping in every 2 - 3 hours
to do spot monitoring. When I started to get anxious the Doctor in charge
very friendly told me that I was managing so well, there is no need to do
anything. And so on. Most importantly my birth plan was given a lot of
attention and midwives followed it to the letter.
This time around was very different. We were put under a lot of pressure to
induce labor, scare tactics and all. My birth plan was ignored. I kept
hearing how dangerous it was to have my ninth baby. One of the things that
was pushed on us was continuous monitoring. One of the midwives asked,
surprised "Why would not you want continuous monitoring". Oh boy, I
actually managed to tell her nicely. In the end, despite me having refused
monitoring altogether someone shoved the monitor on me while I was in
transition. By that time I was too busy with my body and did not care. In
the end my Doula almost got to deliver the baby. I warned the midwife that
the baby was coming, only to be told that I was just imagining it, since
she just checked me and I was nowhere near 10. Then she left. Baby's head
popped out 30 seconds later. I did not care. I was too sick of arguing with
these people. But my Doula decided to call the midwife back in. Probably
saved us a lot of yelling.
There were some very nice moments there too. The student midwife was
lovely, so was the first midwife (she had to go before the baby was born)
was super! She was ready to deliver while I was squatting on the floor. And
I will probably remember forever a beautiful lady, who came to clean me up
after birth and wrapped me in a warmed sheet. That felt amazing!
All in all I found that hospital was unfortunately adapting American model
of care for the Mothers and babies. I did not see any other mothers besides
me rooming in with their  babies and on demand feeding was not even
mentioned. Instead I was instructed to nurse every three hours. I was
concerned about hemorrhaging (done that before) but the doctor was mainly
concerned with the theoretical possibility of blood clots. So I was
pressured into an injection of blood thinner (side effect is - possibility
of hemorrhage) - the quote here is "we know what to do to save you if you
hemorrhage".  Once again looking at statistics, not people.
This same hospital was a lot more baby and mom friendly 4 years ago.

All the best.

On Wed, Feb 22, 2017 at 10:12 AM, Tricia Shamblin <
[log in to unmask]> wrote:

> Loving this topic and all the great posts. Just a few comments:
>
> Jarold - Love your comment that 1 ml colostrum contains 13 trillion cells.
> I think I have another good thing to tell parents who are worried about
> colostrum not being enough for the baby. Thank you. I wonder if the new
> Compendium is also considering the newer study by Santoro published in
> Pediatrics in 2010 that said the volume of colostrum day 1 is 15 ml total
> daily intake? That would make a total caloric intake day one of about 8
> calories. Whether it is 30 ml or 15 ml total on day 1, or 8 calories or 20
> calories, I think doesn't really matter, right? This is an estimate. The
> point is that it's really, really small and it's normal.
>
> Tom - Yes, I agree that it is at a least a possibility that some babies
> may learn quickly that the milk comes from a bottle, syringe or spoon and
> not the breast. So if it's not broken we shouldn't try to fix it. But if it
> is broken, this is the best way to fix it. Hand expressing colostrum and
> spoon feeding to the baby. I would make the case to do this routinely with
> all the babies less than 6 pounds and less then 37 to 38 weeks. Teaching
> hand expression is a requirement for Baby Friendly hospitals because there
> was a study showing that when women learned this skill in the hospital,
> they were more successful with breastfeeding. However, just teaching it
> doesn't mean that they need to use it if there are no problems. I do think
> that all women should learn this skill in the hospital, though not
> necessarily use it.
>
> Pat - Yes, thank you, I also think every 2 hours would be better for
> feeding preterm babies, I agree. Nils Bergman said in a lecture that when
> he advocated for 1 hour feedings for preterm babies, staff thought it was a
> good idea, but the nurses said that the doctors would never agree to it.
> And the doctors said the nurses would never agree to it, haha too funny.
>
> Julie -. Here is a link to a study about amniotic fluid volumes.
> http://www.nature.com/jp/journal/v25/n5/full/7211290a.html
>
> "Removal of AF is predominately accomplished by fetal swallowing (200 to
> 250 ml/kg fetal weight/day)."
> So maybe more than 500 ml/day that the baby swallows. But in small amounts
> and it's quickly turned into fetal urine which makes more amniotic fluid,
> so unknown how much is actually in the baby's stomach at once. I've heard a
> theory that this is why babies nurse in that suck/suck/pause pattern for
> the first few days, because that's what they did in utero with the amniotic
> fluid. Swallow a little water and then rest, pretty continuously while
> awake.
>
> Loved Henya's post on having a baby in America. I would love to take your
> post to work and read it to staff because I feel like this is exactly what
> is going on where I work. I wish people would stop and think about what
> they are doing more. Now that hospitals are becoming more "supportive" of
> breast feeding, I feel like we are starting to over-manage it a bit.
>
>
> Some have commented that studies show better outcomes when babies
> breastfeed in the first hour. I'm completely on board with skin to skin
> immediately and attempting within the first hour. However, I think we need
> to do a better job of explaining to women what to do if the baby doesn't
> latch in the first hour because many of them are really stressed if it
> doesn't happen. I think they are interpreting try to feed the baby in the
> first hour as "you must breastfeed in the first hour or breastfeeding is
> doomed." In my prenatal class, I tell parents to attempt feeding through
> baby-led, laid-back feeding position. But don't panic if baby doesn't
> latch. Just put baby back skin to skin and try again when baby shows cues.
> We will get another chance, for goodness sakes the baby is only hours old.
> But I see many women at delivery, they barely catch their breath after
> pushing the baby out and they immediately grab baby and start pushing baby
> to the breast because they've been told breastfeed in the first hour. And
> then they are distraught if the baby didn't latch. I think nursing in the
> first hour is great, but don't forget that parents often take things very
> literally and they think these are "rules."
>
> I think there is a big difference between a mother whose baby is in the
> NICU and won't be breastfeeding for weeks or months and a healthy baby in
> mom's room that just needs a few hours to learn to breastfeed. Research
> does show that moms who pump at 1 hour made more milk than those pumping at
> 6 hours, but the healthy term baby is going to latch (most likely) and then
> make all the milk it needs, so it's a completely different situation.
> Apples and oranges, I think.
>  Thanks for all the great posts. I learn so much here.
> Tricia Shamblin, RN, IBCLC
>
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-- 
Henya
Migdal HaEmek, Israel

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