Hi Chris and Zena

In the Western Cape we actually have a separate KMC provincial policy that 
applies to ALL babies!  (No prizes for guessing where Nils Bergman lives!) 
We also have a National Bf Policy that talks about skin to skin until the 
first spontaneous breastfeed.  But ....  having a policy on paper is only 
the beginning.  The concept is spreading slowly.  I teach Skin to Skin to 
parents and health professionals at every opportunity.   I believe it goes 
hand in hand with breastfeeding.

The unit where I work had a 100% caesarean rate last week (and we were 
full).  Babies go to their mothers within one hour and are naked except for 
a diaper.  Thereafter, any baby who is not feeding well is placed skin to 
skin.  If there seems to be a problem with bonding then skin to skin does 
its magic - especially when baby turns his head and makes eye contact.  Only 
once have I had a mother who was repulsed at the idea.

 Mothers who elect to bottle feed from birth are usually taken a fully 
clothed baby.  I would be interested to hear what others do in a bottle 
feeding situation.

Jean Ridler  RN  RM  IBCLC
South Africa   [log in to unmask]

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