Tricia, our teaching is almost exactly what you suggested. We ask an alert adult to sit next to mom's bed and be responsible for the baby's safety. If they leave the room, we ask them to put the baby in the bassinet first.
We also use the safer positioning of mom and baby that Attie discussed. I use a technique for tucking in that was introduced to me by a colleague. I fold a regular hospital receiving blanket into a triangle. With baby laying skin to skin with mom, I place one point of the triangle under the baby's bottom, one point behind the mothers back on the left side and the last point behind her on the right side. We then place a pillow under each of her elbows and the side rails up. This helps to support the baby on mom's chest in case she accidentally falls asleep. It also gives her hands some freedom so she can eat or fill out a form while doing skin to skin.
Karen Stanzo
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> On Oct 8, 2017, at 11:00 PM, LACTNET automatic digest system <[log in to unmask]> wrote:
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> There is 1 message totaling 45 lines in this issue.
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> 1. hypoglycemia policy
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> Date: Sun, 8 Oct 2017 17:53:04 +0000
> From: Tricia Shamblin <[log in to unmask]>
> Subject: hypoglycemia policy
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> I have heard of some facilities that will develop a policy that as long as another adult family member, such as her husband or mother, will pull up a chair and sit within arms reach of the couplet, that they will let the mother to sleep with the infant on her chest. But if the other adult leaves the room, the infant needs to taken off the mother, or mom needs to wake up and observe the baby. Would this be a workable solution?
> Tricia Shamblin, RN, IBCLC
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> -----------------------------
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> Date: Sat, 7 Oct 2017 12:00:20 -0400
> From: Attie Sandink <[log in to unmask]>
> Subject: Hypglycemia protocol and skin to skin
>
> If a mother is sleeping really make sure they are at a 30 degree angle with baby’s face safely to the side and in an sleep belt or in another safe skin to skin wearing shirt or wrap. Would that not solve the safety issues. The safe shirt does not have to be expensive.
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> Attie Sandink RN, IBCLC, CLE ™
> Private Breastfeeding Consultant and Educator
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