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Subject:
From:
"Leanne Jewell, Rnc, Lcce, Facce" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 26 Jan 2005 12:04:11 EST
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This is in response to Laura Wheeler's comment on policy of "rooming in " 
requiring a private room.  When one of my daughter's had her baby in a Hollywood 
Fl hospital she was in a semi private room.  I was appauled at the snuggness 
of having two Moms, babies and significant others and then several visitors in 
a rooming in situation.  The poor kid was in the outside bed and everyone 
walked by so if she wanted to breastfeed she had to enshroud herself behind the 
curtin which made it even more tight quarters.  After having worked in several 
area hospitals and having had LDRP and single private rooms for LDR/MB set ups 
I had forgotten because the last place that had semi privates was a much 
larger room and they tried to put Moms in rooms and only then add on the additional 
mom when there was a mom not breastfeeding.  They also didn't have rooming in 
as we have come to know it.  Consequently when her sister had a baby in NY we 
requested and willing paid for the bigger single for privacy.  It was small 
but I wondered how snug their semi private rooms were.  Needless to say when 
Bonnie has her second baby she will be coming to my hospital and even if its a 
small single room versus the larger suite she will have the privacy she justly 
desires. ( I know that sounds elitiest, but every new Mom shouldn't have to 
worry about can she learn to breastfeed and her baby cues with all the other 
family looking on.  And same for her other sister when she delivers in April. 
I can remember doing it in a 4 bed ward and a semi private with outside baths 
and showers....I know that not all the world works in our mindset but in our 
society we must allow Moms the space to enjoy their birthing experience so 
they can learn and take it home...they have so little time to ask questions and 
try to get a handle on it as it is.) 
So the answer is do they need private rooms, no but they need space for 
privacy. Is it policy, probably not. Will they get it ....only if they are informed 
and shop for what they think they need.  I had tried to tell my one daughter 
that some things matter. She later realized that space was a major issue.  She 
didn't ever send her baby back to the nursery once he came out to her...She 
thought the rooming in was great. Said she would have gone nuts if baby only 
came out for feeds.
That's why when a patient goes into one of our small private rooms and 
bemoans the fact its "too small"  I think you don't know what small is....but at 
least its only you and your family.
I don't think private is part of BFHI initiative but maybe the space for 
privacy should be.
Just my thoughts.
Leanne Jewell, RNC, IBCLC, LCCE, FACCE  

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