I had a run-in with one of our OBs several weeks ago when he came into a 
mom's room to announce he would be doing the baby's circ right then as I was 
answering the parents' (and grandmother's) questions about whether the circ 
would affect breastfeeding.  When he made his announcement, the mother 
looked at him and told him she did not want the circ done that day - they 
wanted it done the next day.  He was not at all happy.  The parents could see 
he was upset and asked me what they should do.  I told them that the 
decision was theirs, as it was their baby.  Grandma also told them this.  They 
did end up refusing the circ that day.  Of course, the OB was waiting for me 
when I came out of the room.  He was upset because he was being 
inconvenienced - he had time then, and felt he would be "rushed" the next 
day.  Did I have any RESEARCHED-BASED literature to support what I had 
been telling the parents?  It took me 4 hours, but I did put together a packet 
of several articles/papers that I found on the Internet and handed it to him at 
the nurses' station the next day.  The nurses told me he had been really 
mouthing off about this to them, but he did take the packet with him and 
stated:  "I guess I have some reading to do."  He has not said anything to me 
about this since that day, but I have noticed that he now waits until the baby 
is over 24 hours old (most of our OBs are doing circs < 24hrs and some 
routinely circ <12 hours!).  He has also been going out of his way to greet me 
cordially in the hallway.
I am in the process of getting myself on the agenda for an upcoming OB 
medical staff meeting, so that I can present this to the entire OB staff.

Change...one doctor at a time!

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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