I apologize that I sent this response from my private email without the proper credentialing.
Theresa Johnson MSN, RNC-OB C-EFM, IBCLC, CNML
Nurse Manager Labor and Delivery
Florida Hospital-Celebration Health
400 Celebration Place
Celebration Florida 34747
407-303-4779
Sent from my iPhone TJ
> On Oct 12, 2015, at 21:26, Theresa Johnson <[log in to unmask]> wrote:
>
> I feel it is important to add in here that our hospital uses the CHG wipes/showers for every c/s, however, it is performed from below breasts to knees for 3 minutes. We perform skin-to-skin with all deliveries including c/s and nurse on the OR table if baby so chooses. We have support from our Chief Nursing Officer, Nurse Infection Preventionist, physicians, nurses, and anesthesia. I hope this helps you for any future push-back you will need to muster. (We are a baby friendly designated facility, as well :) We also had to push back to prevent the daily CHG "baths" that the rest of the hospital patient population must perform. As long as there is a value among the key stakeholders for human milk and the breastfeeding dyad, there is a hope for policies to align and support!
>
> Sent from my iPhone TJ
>
>> On Oct 12, 2015, at 20:56, Holly McSpadden <[log in to unmask]> wrote:
>>
>> Unfortunately, there is evidence, and hospitals' infection control departments are jumping on the band wagon...Here is some basic information with references, there's tons more on PubMed :(
>>
>> http://www.sageproducts.com/documents/pdf/education/studies_articles/ssi/Chlorhexidine%20Wipes%20The%20New%20Weapon%20Against%20SSIs.pdf
>>
>> Surely it can't be a good thing for the protection that skin-to-skin offers the newborn...
>>
>> Holly
>>
>>> Date: Mon, 12 Oct 2015 20:58:13 +0000
>>> From: [log in to unmask]
>>> Subject: Re: Chlorhexidine Gluconate wipes
>>> To: [log in to unmask]
>>>
>>> This IS TERRIBLE. It would totally ruin the value of skin-to-skin as a transfer device for good bacteria for c-section moms. Ugh! Where is the evidence that increasing the "cleansed" area improves infection rates post-operatively?
>>>
>>> -----Original Message-----
>>> From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Ann Cunillera
>>> Sent: Monday, October 12, 2015 2:17 PM
>>> Subject: Chlorhexidine Gluconate wipes
>>>
>>> Hi everyone,
>>> My hospital is looking into the safety of using chlorhexidine gluconate wipes as a chin to toe wash prior to c-section deliveries. The protocol would be changed to using the wipes on the breast and chest area while we are currently only using it on the waist down. I am having trouble finding any evidence on the safety of this product as far as both skin-to-skin care and breastfeeding is concerned. Is anyone using this full body preparation in their hospital at this time? I would appreciate any feedback if you are familiar with this standard of care. Thank you so much!
>>>
>>> Ann Cunillera, RN, IBCLC
>>> White Plains Hospital
>>> White Plains, NY 10601
>>>
>>> ***********************************************
>>>
>>> Archives: http://community.lsoft.com/archives/LACTNET.html
>>> To reach list owners: [log in to unmask]
>>> Mail all list management commands to: [log in to unmask]
>>> COMMANDS:
>>> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome
>>>
>>> ***********************************************
>>>
>>> Archives: http://community.lsoft.com/archives/LACTNET.html
>>> To reach list owners: [log in to unmask]
>>> Mail all list management commands to: [log in to unmask]
>>> COMMANDS:
>>> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
>>> 2. To start it again: set lactnet mail
>>> 3. To unsubscribe: unsubscribe lactnet
>>> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>>
>> ***********************************************
>>
>> Archives: http://community.lsoft.com/archives/LACTNET.html
>> To reach list owners: [log in to unmask]
>> Mail all list management commands to: [log in to unmask]
>> COMMANDS:
>> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
>> 2. To start it again: set lactnet mail
>> 3. To unsubscribe: unsubscribe lactnet
>> 4. To get a comprehensive list of rules and directions: get lactnet welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
