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Re: postdelivery bonding and baby careFrom: LCLEMOS@aol.comFri Jun 23 06:57:51 2006
In a message dated 6/22/2006 1:19:11 P.M. Eastern Standard Time, ajfields@pine-net.com writes: Although it is changing in some areas, here is it most common that the baby is born and handed to a nurse, who places the baby under a radiant warmer (you can see similar over the french fries at McDonald's ;-)). Baby is dried, suctioned-routine delee suctioning isn't common anymore, APGARs are done. If the baby seems to be transitioning slowly or poorly, that is addressed. In some hospitals, the Vit K and erythromycin are given at this point-in others those things are done in the nursery. It is often assumed that the mother doesn't want to hold the baby until she is cleaned up and tucked in, at which time she'll be handed her baby burrito. If the mother asks for the baby to be handed directly to her, many docs will do so, but unless she asks, it's uncommon to offer. Nurses sometimes complain about the difficulty of accessing the baby on mom's abdomen. Rooming in varies a lot, as well. In some hospitals it is standard procedure that the baby go to the nursery for a number of hours for recovery. In that case, the baby usually goes no later than an hour after birth. When mom sees the baby again, it has usually been bathed and dressed. If she's planning to bf and is really lucky, no one will have given it a bottle of water or formula. Again, compliance with mother's wishes IRT bfing varies a lot from one location to another. I don't know where JFields practices, but this would have been true 10 years ago here. Now bonding, family centered care, no eye ointment until eye to eye contact with mom if possible (if mom and baby able) is the more common practice... in fact I have often laughed at families who want to know what the baby weighs even though they haven't let go of it yet! (conditioning on their part, I guess!). CSections are tougher but some places are managing to keep the baby-mom together there as well- the perinatal listserv had a nurse excitedly posting her success at keeping mom/baby together from birth to room during/after a Csection, but that is a tough routine to establish. It is valued here however. Laurie in ME
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