Re: Third stage, how long?
From: Jamie (ajfields@pine-net.com)
Sat Jun 24 11:10:46 2006
What a cruel thing to do to your sister. Forcing an opposite extreme is
not choice.
At Sat, 24 Jun 2006, Meenan, Anna wrote:
>
>All three hospitals here have normal newborn
>nurseries. On the flipside, after a very long
>labor and a crash general for uterine inversion,
>I ended up with a ten-pound kid who was so tuned
>in to even the sound of my breathing that he
>could not fall asleep when he was in the same
>room with me and would cry constantly. At one
>point I was practically hallucinating from
>fatigue so I sent him to the nursery with
>instructions to bring him back in two hours, or
>when he cried, whichever occurred LAST. He was
>the same way at home. Could not fall asleep
>while being held, had to be alone in a room, cry
>for 5 or 10 minutes, and he was out.
>
>My sister had a similar type kid at a hospital
>with no newborn nursery and mandatory rooming in.
>When she needed a couple of hours of good sleep,
>the nurses parked the kid at the nurses station
>with a sign that said "My mommy doesn't want me"
>on the crib. I'm as much in favor of bonding and
>rooming in as the next person, but I fully
>understand the need to get a couple of hours of
>good sleep in the immediate postpartum period.
>
>Anna Meenan, MD
>
>>I work a little bit (mostly retired) in a small
>>community hospital in Washington state that
>>still has a normal newborn nursery. In my last
>>small community hospital (13 years ago), we had
>>no newborn nursery and all couplet care. When I
>>came here, it felt like stepping back in time to
>>1980, and although we try (and midwives do a
>>good percentage of the births here) it has not
>>gotten any better in 13 years! Nurses try to
>>take the baby from the mom within a few minutes
>>of the birth, we warn the parents not even to
>>let the nurse take the baby for a weight until
>>they are ready for a 10-15 minute separation.
>>It is like psychological tug of war.
>>
>>Fran Wilson, CNM
>>Kennwick, WA
>>
>>Wow - feels like stepping back years and years
>>and years - how many hospitals still have normal
>>newborn nurseries??? Susan
>>
>>***************************************************
>>Susan James
>>***************************************************
>>Directrice
>>Programme de formation des sages-femmes
>>Université Laurentienne
>>Sudbury, ON
>>
>>>>> annam@uic.edu 06/22/06 9:06 pm >>>
>>Here in our hospital (community hospital, 180-200 births per month),
>>I try to put the baby on mom's abdomen. Nurses will leave it there
>>for a short time if I put it there, but patients do often want baby
>>taken to warmer once I start checking vagina for tears and suturing
>>anything that needs it. The nurses want to get all their
>>paperwork/banding/footprinting/vitK/eyedrops done because the nurses
>>in the nursery get upset if baby comes to nursery with a bunch of
>>stuff still needing to be done. I think it's a good idea to make
>>that stuff all the job of the nursery nurses (except for banding of
>>course), but then I have no say in the matter, and lately there is so
>>much turnover in the nursing staff and so many agency nurses working
>>there, that it just doesn't pay to question anything, because
>>everybody's incredibly cranky.
>>
>>Anna Meenan, MD
>>
>>>in my hospital (high volume, tertiary care academic center) the
>>>default is to put the baby on the mom's abdomen and leave it there
>>>for quite some time. Drying, initial assessment, id bands etc are
>>>done with the babe on the mom's abdomen. The nurses have no problem
>>>with this. This is so common that many of the residents don't know
>>>how to handle a baby that is NOT going to mom's belly......
>>>
>>>vit K, eye prophylaxis, weight, etc are not done on the labor
>>>floor....they wait until the baby and mom have gone to the
>>>postpartum floor.
>>>
>>>Betsy Hyde CNM
>>>Branford, CT
>>>
>>>On Jun 22, 2006, at 6:28 PM, D. Ashley Hill wrote:
>>>
>>>>It's been my experience at several institutions that the rate limiting
>>>>factor is how busy the nurses are. Nurses have a huge amount of
>>>>paperwork and often have several patients in active labor at the same
>>>>time, so they can become agitated when I hand the newborn to the mom for
>>>>skin to skin contact and to begin breastfeeding. I've seen nurses
>>>>pacing back and forth, exasperated, until they come up with an excuse to
>> >>grab the baby and start in with the vitamin K, eye drops, footprints,
>>>>weight, temp, etc. We have worked hard over the years to get out of
>>>>this mindset and to a significant degree it's working. There are
>>>>diehards, however.
--
JFields, RN, BSN
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