The difficult thing about expecting parents to be "accountable" for 
being "informed" is who is informing them? Just about everything out 
there has someone making a convincing argument for a particular way of 
doing things. There is so much conflicting information.

The AAP says babies should be placed skin to skin at birth and not 
removed until the first feeding has taken place, not even to weigh 
them, and that you can wait up to 6 hours to give the vit K shot. But 
how many parents will have read the policy statement and know they 
should argue with the L&D nurse when she says she "has" to take the 
baby for just a minute to weigh him, and he has to have a painful 
procedure within the first hour of birth (vit K shot).

Accountability is for everyone, and we as HCP's know what the AAP 
statement is, so why do we continue to employ routines that interrupt 
this delicate period of time?

Andrea Tran RN, IBCLC
Erie/Boulder, Colorado

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