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Subject:
From:
Mary-Jane Sackett <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 21 Jun 2011 20:32:13 EDT
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Dear Listmates,
 
Just wanted to share my delight at once again being able to listen to Dr.  
Nils Bergman speak on perinatal neuroscience and skin-to-skin contact. He  
spoke in Albany, NY, just an hour's drive from where I live. The man is  
inspiring. I got some great ideas that I will bring to my breastfeeding  class 
to make it more empowering for parents. 
 
I found it interesting that he brought up something that has caused me some 
 concern. I read in our staff meeting minutes from last month that a nurse 
who  attended a recent conference heard a well-known speaker say that  she 
doesn't feel that skin-to-skin contact (SSC) is all that necessary for  
breastfeeding to succeed, and that just having the baby's cheek on the mother's  
breast will do the same thing. This is what the nurse heard and reported 
back to  other nurses in a monthly staff meeting which I was not able to  
attend. It is very possible that the speaker did not really say it quite that  
way, but what Dr. Bergman said today confirms that this is the speaker's 
feeling  on SSC. I have been trying to get the nurses to offer mothers SSC  right 
after birth and as much in the days after birth that mothers are willing  
and able to do. Our nurses interact with many women during prenatal testing 
that  women undergo on our unit, so they have an opportunity to bring it up 
there, as  well as in early labor. Very few women come to breastfeeding class 
(I feel that  the fee may be a barrier to many.) Knowing that I was not 
going to be  at the monthly staff meeting, I made copies of the fairly recent 
Cochrane review  on the benefit of early SSC, which our director handed out 
to meeting  attendees. This was also attached to the meeting minutes, but I'm 
sure a  nursery nurse reporting on a conference carries a lot more weight 
than any  attachment might. Pediatricians have also not been supportive of 
SSC and do  not see any harm in routine use of pacifiers soon after birth in 
full  term healthy breastfeeding infants. So, I continue to do my monthly  
performance indicator for how many full term healthy babies born by  
uncomplicated vaginal birth were in SSC with their mothers in the first hour  after 
birth. Usually it is less than 40%, and almost always it is babies  whose 
mothers plan to nurse. Sigh....
 
Mary-Jane Sackett, RN, IBCLC
Pittsfield, MA
 
 

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