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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