In a message dated 2/27/01 8:28:40 PM Eastern Standard Time,
[log in to unmask] writes:


> In a message dated 2/27/1 9:51:41 AM, Winnie writes:
>
> << ........ Assuming no complications, I can see no reason why a C/S mom
> couldn't try to express colostrum in the RR.  She would need some help
> "catching" whatever she expresses.....>>
>
> Winnie, wow, I would be very impressed with post-op nurses in a recovery
> room
> that would be so BF supportive & skilled.
>
>

There are IBCLCs , CLCs or plain old breastfeeding advocating RNs who work in
the L&D unit as well. Their influence on  the practice of other staff nurses
is measureable. I am presently working in L&D as a staff nurse after giving
up my 5 day a week position as a Lactation Coordinator a few years ago. I am
definitely able to role model and teach and advocate for breastfeeding
mothers in a different setting. I am able to bring my experience as a LC to
an area where interventions impact breastfeeding courses. Many of the nurses
I work with are now less likely to use deep  suctioning unless absolutely
necessary. Almost all of my co-workers at night are supportive of encouraging
that first breastfeed in L&D(at least when I'm on). They usually seek out my
help if they are having trouble. Many times we have new moms with us for
24-36 hours due to complications post delivery and breastfeeding issues do
come up on L&D more often than one would think.
It is the L&D nurse's responsibility to initiate the critical pathway for
breastfeeding at our hospital. That means interviewing mom about previous
BFing experience, problems encountered, length of previous experiences, past
breast surgeries, and a nipple assessment.

 So , the post-op nurse may very well be the L&D nurse. Sometimes that L&D
nurse is an IBCLC as well. There are 2 of us on our L&D unit.
Jane Ciaramella RNC, IBCLC

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