With progress in some places and  limited progress in others and many
still hampered by  routine, one wonders why are we so slow to  move with
what is  more effective. Why are we so resistant   about keeping mothers
and babies together when babies and mothers can be cared for together more
effectively in most cases??

That is a phenomenon that baffles me.  I've been an RN for 20+ years and
worked a few different areas within hospitals-mother/baby and
labor/delivery, medical-surgical, emergency room/critical care, pediatrics.
My personal perception is in no other area of health care is advancement
away from old routines and old beliefs so resisted as it is when it comes to
the care of women having babies.   Practices are most commonly based on "how
we've always done it" even when there is research to show it isn't most
healthy.  It's frustrating to those of us who want to do the right thing.
And what shocks me about it most is it can't be said it's only a
male-control issue because there are many women who practice the same way.
There is a book called Organizational Change:  Theory and Practice by W
Warner Burke.  The description on Amazon.com says in part:  Organizations
change internally at a much slower pace than the external environments in
which they function, and must continually evolve to keep pace. Further,
these environments are in constant flux and challenge the assumption of
continuity on which organizations are created and developed. Now more than
ever, there is a clear need for a greater understanding of how to
understand, lead, manage, and change organizations.
Organization Change: Theory and Practice provides an overview of the
theoretical and research foundation for our current understanding of
organization change, including the nature and types of change organizations
experience.

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