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Subject:
From:
Karen Palmer <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 26 Jul 2007 12:23:41 +1200
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As WBW comes up I would like to share with you some good news, that may
not be unique but I still think is a celebration!
 
We are a secondary and tertiary materntiy hospital with about 3,000
births per year.  Like other areas, we have had a steady increase in
type one and type two diabetes within our birthing population.
 
Due to the impact of BFHI (especially steps 4 and 5) our admission rate
 to the neonatal unit for infants of diabetic mothers with low blood
sugars has gone from about 70% to about 5%.
 
There are probably 4 main reasons for this:
 
- a dedicated diabetes nurse
- collection of colostrum antenatally
- skin to skin in delivery suite 
- improved skill and confidence of the postnatal staff
 
But out of all the things above, by far skin to skin has been the major
factor.  Something so simple but so profound has had a major impact on
an at risk group.  
 
Skin to skin is practised routinely, no matter what type of birth.  It
is happening in theatre, in recovery and in birthing rooms.  Apart from
being quickly dried under a radiant heater, these babies are not leaving
their mother's bodies for several hours.  They even ride up to the
postnatal floor in the lift still skin to skin.  It is only when the
mother is really tired and the visitors are leaving that the baby is
dressed and placed in a cot.
 
Karen Palmer
IBCLC, MW
NZ

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