Laura replied to Cheryl:
>If breastfeeding is all they are concerned about, NO help is needed. Remember
>the babies crawling to breast & self-attaching in the video/study?
>
And Jennifer responded to Laura
>While I agree with you that intervention (even of the "helping" kind) can
>actually interfere w/ breastfeeding, if you remember the crawling to the
>breast video, the baby born of a drugged mother could not do this.

Let's not confuse apples with oranges. The kids in the videotape mentioned
experienced epidural anesthesia, but not necessarily a cesarean birth (as I
recall.) Even when you're talking cesarean and cesarean, it's difficult to
generalize the results. The stresses experienced by a baby born by cesarean
after a 30+ hour labor, failed forceps etc. etc. are different than those
stresses experienced with a planned C/S. Hence, their behavior can be very
different....

However, Cheryl Bean-Moody's original question was about responsibility and
accountability for the OR staff, and no one has really addressed that.

On a practical note, I don't think it's realistic to ever hope that the OR
staff is going to help with breastfeeding. At least, not before *I* retire!
We have enough trouble getting the perinatal staff to help!!! I solved this
issue in my own hospital by having the nurse from the perinatal service go
to the OR to receive the baby. This is no small feat; many, many pieces
needed to fall into place before this 'magically' happened. But in the end,
it was the best solution. It took me several months, and all of my best
change-agent skills to accomplish this. Everyone opposed it--my boss, the
perinatal staff, the OR staff, the docs, etc. It was probably the only time
that I've experienced having NO disciples.

For those of you who wonder why I got gray hair so early in life, this will
give you at least one clue....


--
Marie Biancuzzo, Perinatal Clinical Nurse Specialist
[log in to unmask]
Resources to simplify breastfeeding management are available at
http://www.wmc-worldwide.com

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