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Subject:
From:
"Alla Gordina MD, IBCLC, FAAP" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 5 Nov 2013 08:38:44 -0500
Content-Type:
text/plain
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text/plain (56 lines)
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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