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Date: | Sat, 28 Feb 2004 09:41:15 -0600 |
Content-Type: | text/plain |
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First I would help mom work to limit initial interventions. Put
baby on mom's tummy immediately.
1-Does the baby HAVE to be weighed immediately? (Unfortunately, a
drawback to the computer world is that initial documentation has to
be put in within a few minutes to initiate care plans etc. and in
most cases, without the weight, the "form" can't be processed.)
2-The person giving immediate care to the newborn can listen to
heart, lungs and bowels and do a wuick visual assessment with baby
on mommy's tummy. Then only if there are concerns that need to be
checked out would baby have to be moved to a warmer where a more
detailed assessment can be done.
3-Eye treatment can wait until mom and baby have had some time to
get acquainted (I think there is sometimes a limit that it is to be
done within the first hour.
4-Vitamin K shots are in widespread use and at least where I worked,
it was very difficult for parents to refuse as the HCP was mandated
by law to give it and often that mandate states it must be done even
before that first hour is up. If it must be given, this, too, can
be done with baby on mom's tummy.
For ongoing support I think 2 things are key:
1-Keep mom and baby skin-to-skin.
2-Limit visitors. This can be a real challenge as the idea in very
ingrained in our society that anyone and everyone should be able to
see the baby and "ooh" and "ahh" over it ASAP! I think it was Pat
Gima that pointed out that we souldn't think of swarming over a
newly married couple with loads of visitors, we should give the
newly expanded family the same consideration.
3-Help run interference with nurses who insist on taking baby to the
nursery for one reason or another. Help the parents learn to ask
whether the procedure needs to be done "right now" and whether it
couldn't be done in the room with mom even if it isn't as convenient
for the nurse.
Then, give the new parents lots of reinforcement and "strokes" for
their interaction with baby. Point out baby's cues and praise the
baby to help the parents overcome any initial hesitation or
uncertainty.
Note that I haven't even begun to discuss mechanics of latching.
Hopefully the parents have been able to view one of the great videos
showing how to achieve an effective latch and especially how much
ability baby has in the process if we give him the opportunity.
Winnie
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