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Date: | Tue, 5 Nov 2013 08:38:44 -0500 |
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Our hospital (6K deliveries/year, regional perinatal center. level III
NICU) is still far-far away from becoming baby-friendly, but some baby
steps are being taken slowly and (not very) surely.
One of the major problems is everybody's anxiety around stopping the
separation of mothers and babies in the first hours after delivery (by
everybody I mean - administration, nurses, in-house and community
physicians).
We are finally moving away from having one central admitting newborn
nursery (where kids were corralled "for observation" for 3-4 hours
post-partum) to keeping babies born vaginally with mothers at all times.
But that is still not a case in situations of any c/sections and/or any
type of delivery of infants of diabetic mothers.
After any c/section, regardless of mom's and baby's condition, the baby
is wrapped, given mom to be kissed and taken away to the nursery. In the
best case scenario the dyad is then being re-united only in 2-3-4 hours
when mom is transferred from recovery room into the post-partum floor.
In a case of diabetic mothers, after any type of delivery, regardless of
mom's and baby's condition, the baby is wrapped, given mom to be kissed
and is taken away to the special care nursery, where the said baby is
being fed several feeds of 3-4 oz of artificial milks. In the best case
scenario the dyad is being re-united in 8-12 hours post-birth only.
We are seeking protocols/experiences on how that can be changed.
How your hospital did overcome nursing, medical and administrative
resistance?
Staffing issues are extremely important - how that was done in your places?
For those who done that and is within 2-3 hour driving distance from
Central NJ - can we come and visit you one day?
Thank you in advance,
Alla
--
Alla Gordina, MD, IBCLC, FAAP
General Pediatrics
Breastfeeding Medicine
Adoption and Foster Care Medicine
Global Pediatrics and Family Medicine
NJ Breastfeeding Medicine Educational Initiative
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