baby friendly questions - pg.9 | allnurses

baby friendly questions - page 11

The hospital that I work at is in the process of becoming baby friendly, and I have some questions about how the baby friendly initiative is implemented in other hospitals. I want to start by... Read More

  1. Visit  itsnowornever profile page
    0
    We are a "baby friendly" hospital...and I had a nurse tell me "it hasn't been an hour yet, take the baby back!" Well mom was tired, her delivery was HARD and this wasn't the first baby. I was yelled at because the nurse was angry mom wouldn't breast feed yet and didn't want skin to skin and at one point said "I don't care what mom wants, unless she wants to be a bad mom, but I guess that's what she wants" really?!?!?! I was ashamed for the nurse!
  2. Visit  SL2014 profile page
    3
    I agree that a woman using the nursery or choosing not to breast feed is entirely their choice.

    But I have come across many women who chose to bottle feed and most of them say "there is no difference between breast milk or formula, it doesn't matter".

    Yes... it does matter. It is our job as healthcare professionals to do the best that we possibly can to educate patients and sometimes you have to repeat things and use more direct wording for someone to get the point. Having someone read something about the benefits of breast feeding is a lot different than having them sign something saying "I understand that by not breast feeding, I am allowing my child to be more at risk for upper respratory infections, asthma, cancer, heart disease...".

    It may seem like you are "inducing guilt", you are not. The facts are the facts. If a mother chooses not to breast feed they must be completely aware of the effect of the decision that they are making. If she still says "No." then great, move on and help her find the best formula.

    I just think that people are not educated enough and sometimes are babied, not allowing them to understand the seriousness of their decisions.
    Marymoomoo, duckydot28, and LibraSunCNM like this.
  3. Visit  sandseaandstone profile page
    1
    We are going through getting baby friendly certification. The skin to skin initiative in my opinion is such a good thing---mom gets baby right away and she gets to see him/her the first hour before anyone else. Sometimes moms do great with sections and sometimes not...sometimes they do great delivering vaginally...sometimes not. Sometimes there is a significant other, and sometimes not. I feel like it's my job as a nurse to protect the mom and the baby. If mom is viciously puking and having nausea with terrible pain and no support person---yup, I'll help her with the baby. I'll hold the baby and feed him/her if requested AND take it to the nursery. I've had moms drop off their babies at the nursery to walk the unit....and we take them. I have seen a baby get a bottle feeding and go on to breastfeed without trouble---supporting a mom in the way that she needs us to doesn't mean she won't know what to do when she gets home and won't "get a break". It's our job to provide support the first few days, to help them on their feet. There was a baby dropped on the unit late last year...and I just recently was doing hourly rounds and found a mom sleeping with the baby---I had to gently wake up mom, take baby and offer to take baby to nursery bc she obviously needed rest (csection). If I get fired for that, fine. If I ever have to explain why I was fired, fine. I will say that once a mom says she wants to bottle feed, we let her bottle feed. An initial exchange is usually had about benefits of bfing, but then it is left alone as her choice and we SUPPORT her. We do not give out pacis, but if they bring them we do not harp on that decision as they ARE the parents.
    duckydot28 likes this.
  4. Visit  duckydot28 profile page
    2
    The baby isn't the only one who needs care. Momma does too.

    And all that stuff about how babies shouldn't be separated from their mothers during the first few days is overblown. We went over this in psych...mothers used to be told that if they didn't immediately hold their babies within minutes after birth, they could not properly bond throughout their lifetime. When babies had to go the NICU, often their mothers assumed that their relationships would be tainted forever...and proceed to act that way toward their children. Later research revealed that parent-child bonding has almost nothing to do with being able to hold your baby immediately, but rather more on being a dedicated parent throughout the lifetime of the baby. And you can be a dedicated parent, and still take breaks to take care of yourself. Tsk tsk tsk.
    Elvish and Twinmom06 like this.
  5. Visit  Marymoomoo profile page
    0
    Quote from duckydot28
    The baby isn't the only one who needs care. Momma does too.

    And all that stuff about how babies shouldn't be separated from their mothers during the first few days is overblown. We went over this in psych...mothers used to be told that if they didn't immediately hold their babies within minutes after birth, they could not properly bond throughout their lifetime. When babies had to go the NICU, often their mothers assumed that their relationships would be tainted forever...and proceed to act that way toward their children. Later research revealed that parent-child bonding has almost nothing to do with being able to hold your baby immediately, but rather more on being a dedicated parent throughout the lifetime of the baby. And you can be a dedicated parent, and still take breaks to take care of yourself. Tsk tsk tsk.
    Are you aware that skin to skin isn't just for the mother, it's for the baby first and foremost? Skin to skin contact is an important part of an infants' early development. It makes a difference not just in the first few days, but in years to come! The positive outcomes are most pronounced in premature infants, but all babies need contact with their mothers (or a loving caregiver if mom is not able or available). Here's a report on a recent study you might be interested in.
    Loving touch critical for premature infants
  6. Visit  klone profile page
    0
    Breastfeeding success is greatly enhanced by immediate skin to skin and not separating the mom and baby postpartum. NOBODY is saying that if mom and baby are separated, it will create a lifelong inability to bond properly.

    My own personal experience - my first two children, I had immediate skin to skin and rooming in 24/7. I had an abundant milk supply (was able to donate milk) and breastfed them until they were 4. With my third child, he had to go to the NICU. I didn't get to hold him until he was 6 days old. We struggled through primary lactation failure, I had to supplement 1/2 his milk until he was taking in enough solids, and he weaned at 19 months. Coincidence? Who knows.


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