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Subject:
From:
"Bari Colleen Creager, CNM" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 10 Jun 1998 08:11:25 -0500
Content-Type:
text/plain
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text/plain (61 lines)
Gloria Buoncristiano-Thai wrote:
>
>
> with C-Sect moms from our military hospital)---Situation---Mom had
> C-Sect.  Hospital procedure is to staple the incision.  At three days
> postpartum prior to mom being discharged, the staples are removed.
> Nothing is put in place of the staples.  Mom goes home.  Mom has
> dehissing (sp?) from the incision.

 -hospital does not allow baby to be there.
> You think they could arrange for the babies to be with moms in this
> situation.

 I am not a doctor, but my understanding is that this problem
> with the incisions could be avoided.

Gloria:
This is an all too common occurence at many large tertiary care teaching
hospitals(and at smaller places as well). It has nothing to do with the
"military". It has to do with the type of facility. I would be willing
to bet that their c-sect rate is lower than the national average, it is
unfortunate that they are not BF friendly. I bet the resources are not
there for teaching the residents(who were not taught in their medical
schools), the nurses(who were not taught in their nursing schools), or
the moms(who are thousands of miles away from any family support). I
know of a facility that has 300 deliveries/month that allocates one full
time patient educator slot for OB education....this woman is responsible
for: all childbirth education(3 class sessions/week per month with 50
couples per session; all gestational diabetic counseling(80 patients per
month); prenatal registration education(400 women/month@ 2 classes each
week); and then they graciously allow her to do BF classes/help moms in
any time she has left over(she is an IBCLC).  Now, do you really think
she has an impact on BF with a plate that full?  This is common at such
places, there are not adequate resources.

They need and depend on women like you who are knowledgeable and
volunteers. The unfortuneate part of this is there tends to be a hostile
relationship between the two groups. There shouldn't be "sides", we are
all trying to accomplish the same goal for the mom.....the problem is
they don't know that BF is one of the top priorities.

The wound healing problem is impacted by many things.....the patient's
nutritional status, her health, her post-op course, her habitus, her
hygiene, stress, etc. In other words, many things which are beyond the
control of the provider.  It is too bad they cannot arrange to have a
family member do the wound care at home, that can often be arranged once
the family member has been taught. Then they may only need one visit per
week until the wound closes up.

About the baby being there.... think of the place she's going.... a
"dirty" hospital clinic. Many other people, wounds, germs of all types.
I don't think that is place for the baby. Tell them to activate the
family support system(if it is functional) to bring a "baby care" person
for the baby, so the baby can be kept near the mom, but not in the
actual clinic area. That way she can nurse prior to the appt and then
right after the appt before leaving for home.

Good Luck, it is a frustrating sisuation.

Bari Creager,CNM

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