Teresa, recently the stress levels of the babies in our unit  have been
causing *me* great stress!  There is just no respect for their sleep/wake
cycles, their eyes, ears, skin etc.  The nurses love bathing the babies - a
few hours after birth - and seem immune to their cries.  Mothers *have* to
change the nappy (diaper) before each feed - even if baby is already
screaming - and a new mom can take forever to accomplish this task.  By the
time she is finished baby is often too disorganised to feed effectively or
too exhausted and falls asleep - thus "missing" a feed and then having to
have a heel stick to check glucose levels and the cycle continues.  We are
teaching mothers not to respond to baby's cries!  And I have a hard time
teaching about baby's pre-crying cues.  I would love the reference re the
cortisol levels when babies are bathed by the nurse/own mother is you have
it to hand.
Many thanks.

Jean Ridler  RN  RM  IBCLC  (part time hospital lactation post and private
practice)
Cape Town
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