> Maurenne,
>
> I am not savvy enough with this list to be able to post to the list as
well,
> so I would appreciate your forwarding it to the list for feedback from
> others. Temple McLean
> One thing that I feel gets overlooked because it doesn't seem to be an
> "obvious" intervention is the overreaction by docs (and even cnm's) over
the
> presence of meconium. Mind you, I'm not saying that they shouldn't heed
its
> presence, but the overreaction by cutting the cord and separating mom and
> baby at a time when leaving the cord intact may be the life-saving device
> for a non-breathing baby, is a major undermining of the breastfeeding
> relationship. As we know, even the minimal separation or interruption of
> the natural, instinctive process for babes to be brought from the birth
> canal to the breast, can result in difficult latch far too often.
>
> Babes should be suctioned while "on the perineum," and simply, carefully
> monitored while still attached by cord. A delee tube (as used by L.M.'s)
> can easily be portable (if the hospital will allow it to be so).
Intubation
> usually worsens an aspiration problem. Aspiration of meconium, in and of
> itself, is rare.
>
>
> Second,
> I detest the assumption that because a baby latched on for "15 minutes,"
> that everthing is just "peachy keen". Well, the truth is that for
> everything to be "peachy keen" (and then there's no guarantee), babes
should
> be left latched on until BABE decides babe is done -- not someone else --
as
> that first nursing (unimpeded) provides the proverbial "practice makes
> perfect," and some babies need more than others at first.
>
> Thus far, I have not had a single mom have trouble when interference has
> been eliminated -- including a mom (I was doula) who had a c-section and
> after approx. 8 hours of exposure to epidural anesthesia. I simply would
> not allow the nurses to sway me from helping to and staying with baby at
> mom's breast. Mom and I had discussed this extensively prior to
c-section.
> Nurses wanted to convince her she was too tired. I simply assured her
she
> needed to do nothing and that I would hold baby at her breast (for almost
1
> hour solid!). Worked like a charm.
>
> Temple McLean, AAHCC
> Sumner, WA
> -----Original Message-----
> From: Maurenne griese <[log in to unmask]>
> Date: Tuesday, June 08, 1999 2:55 PM
> Subject: Hospital Practices Survey
>
>
> >I am doing several seminars this summer on how hospital practices can be
> >detrimental to breastfeeding and how to change these practices for the
> >betterment of breastfeeding. I'm wanting to update my presentation a
bit
> >by doing an informal survey with some of you Lactnetters.
> >
> >My question is, in your opinion, what are the top three interventions
that
> >undermine breastfeeding in the hospital setting and what would you
> >recommend for changing these practices?
> >
> >Maurenne Griese, RNC, BSN, CCE, CBE
> >Pregnancy & Childbirth Contributing Editor
> >http://www.suite101.com/welcome.cfm/pregnancy_childbirth
> >Manhattan, KS USA
> >[log in to unmask]
> >
>
>
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