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Subject:
From:
Karen Gromada <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 15 Feb 2008 15:29:04 -0500
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>
>
>
> As I have posted before, I have been working toward changing our delivery
> routine from routine separation for 15-20 minutes to immediate
> skin-to-skin
> until after the first breastfeed.  I have made a little bit of progress in
> this area
> but am again needing input.
>
> Our OB docs were not very taken with the idea. They felt that mothers
> would
> not enjoy the experience of holding a "wet slimy baby", and that waiting
> up to
> 90 minutes to record a weight was unacceptable to them and family members.
> I was proposing setting this as routine across the board, so that even
> non-
> breastfeeding mothers would hold baby STS and benefit from the increased
> oxytocin and bonding.  They felt this would be an imposition on these
> moms,
> and too much pressure toward breastfeeding.
>
>


Have the OBs read this entire recent journal article -- sections address
their concerns:

*Kangaroo Care at Birth for Full Term Infants: A Pilot Study.*

*feature article*
MCN, American Journal of Maternal Child Nursing. 32(6):375-381,
November/December 2007.
*WALTERS, MARY W. MS, RN; BOGGS, KIM M. MSN, RN, BC; LUDINGTON-HOE, SUSAN
PHD, CNM, FAAN; PRICE, KIMBERLY M. RN, IBCLC; MORRISON, BARBARA PHD, FNP,
CNM*

*Abstract:*
Purpose: To determine whether breastfeeding behaviors, skin temperature, and
blood glucose values could be influenced through the use of kangaroo care at
the time of birth in healthy full term infants.

Method: Descriptive study with nine full term neonates given kangaroo care
beginning within 1 minute of birth and continuing until completion of the
first breastfeeding by mothers who intended to breastfeed. Infant skin
temperature was taken at 1 and 5 minutes after birth and every 15 minutes
thereafter. Blood glucose level was taken 60 minutes after birth, the time
at which the infant latched onto the breast was recorded, and breastfeeding
behaviors were observed during the first breastfeeding.

Results: Skin temperature rose during birth kangaroo care in eight of the
nine infants, and temperature remained within neutral thermal zone for all
infants. Blood glucose levels varied between 43 and 85 mg/dL for infants who
had not already fed and between 43 and 118 mg/dL for those who had fed. All
but one infant spontaneously crawled to and latched onto a breast by 74
minutes after birth. Physicians noted that mothers were distracted from
episiotomy or laceration repair discomfort during birth kangaroo care.
Clinical Implications: In this institution, birth kangaroo care was
integrated into routine delivery room care, with nurses noting no change in
nursing workload. Nurses have noted observing the crawling, latching, and
successful breastfeeding of most infants. Because of the results of this
pilot study, birth kangaroo care has been implemented successfully with all
women who wish to participate.




-- 
Karen G
513-325-2550(C)
www.karengromada.com/

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