<<There is an order for Tylenol gtts every 6 hrs for 24 hrs if parents
request. As with all meds this is calculated with baby's birth weight in
Grams. Medication is scanned and double scanned by two RNs.  Sweetease is
considered a comfort measure not medication.  

I am always amazed and do chart how Mothers receive their infants back after
a procedure. Mom offers comfort with breast and cuddling, Mom cries, Baby in
bed swaddled with or without pacifier etc.  Some women are instinctive to
pick up and soothe baby and others are intimidated by the procedure. Some
refuse to care for circ and have spouse or support person or RN do diaper
changes. We teach and encourage and advise parents prior to procedure, they
have a statement from AAP on circ to read and they sign an operative consent
and initial they both parents have read the AAP statement.  If Mom continues
to refuse to learn circ care we chart and report to MD and Social Worker on
unit. Mom is told she is ultimately responsible for care of child so she
must know how to care and do care so there is no infection.  

Rarely do we have someone after the first few diaper changes who continues
to hesitate in caring for baby.

Occasionally we have Mom's who decline sucrose for heelsticks and the only
mandatory bottle use is for the VUCG (voiding urethral cystogram)...we can
use EBM if we have enough and if not we use sterile water to dilute what we
have.  And as in all places there are Mothers who really don't request
Breast only. 

We have many who feel if baby is sucking on hands and cries and has been to
breast once he is hungry she doesn't have enough milk so give some formula.
We have a policy to go to breast a second time and then if parents continue
to request formula we don't give greater than 15ml.  

As with every new baby we spend most of our day educating parents in what is
normal behavior and encourage the baby care class. They get a lovely book
which I refer to Clifff Notes on Baby Care.  We print it in English and
Spanish. Do the parents read it...well that's another issue.

I hope we all realize that there are many ways to help alleviate pain.

Leanne Jewell RN-BC, IBCLC, LCCE,FACCE

S Florida >>

 

Hi Leanne,  thanks for sharing your hosp policy.  I have some questions:

1. Are voiding urethral cystograms routine? Are they done on boys and girls,
intact or cut?  Why are they done?  Is it x ray?

 

2. Are the mothers shown photos of what the baby boy's penis will look like
after the prepuce is amputated?  I'm thinking that, if they knew in advance
that it would be bloody and raw, they might change their minds about doing
it in the first place.
http://www.doulapattiramos.com/search/label/Circumcision

 

 

3. Are parents informed of the medical literature which shows that male
circumcision interferes with the breastfeeding relationship?
http://www.infocirc.org/breastfd.htm

 

Gloria Lemay, Vancouver BC Canada

http://www.glorialemay.com/blog

 

 


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