Cannot guarantee that this information is still accurate, as I left
over two years ago, but...

At NYU Medical Center in Manhattan L&D (approximately 4000 deliveries
in 2006 -- C/S rate around 30%? In line with national and state
averages) runs its own ORs and PACUs.  The baby stays with mom and RN
in the OR, transports skin to skin to PACU, and stays with mom
throughout recovery.  During this time, the labor RN retains
responsibility for assessing the baby and assisting with feeding.  If
recovery lasts more than 2 hours, then around the 2-hour mark the baby
goes up to the nursery for admission, usually with the banded support
person.  Admission can take 2 hours, depending on census.  If there is
a complicating factor so the mom stays in L&D (such as magnesium
sulfate after delivery, or the PP unit being full!!) the baby is
brought back down to stay with mom for the night, and the mom's RN
again assumes responsibility for the baby.

Breastfeeding is initiated upon stabilization in PACU.  If the
sutering was speedy, then it was about a half hour.  But nearly always
within the first hour, unless mom requests not to (shaking, exhausted,
too many family members watching, etc).

HTH,
Michelle Adelewitz, RN

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