baby friendly questions - page 3

by Rhee

19,972 Views | 109 Comments

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 saying that I think that... Read More


  1. 3
    Quote from melmarie23
    I get being tired and all and wanting rest (I am a newish mommy too-my son is 7 months), but IMO having the baby sent out to the nursery sets a bad example. You don't just get to send your baby "out" when you take them home. You care for them around the clock. If you are lucky, which I hope most are, you have help at home with the baby duty. But rooming in is essentially what you do when you are home .
    IMHO, the difference between being home with the baby and being in the hospital, is the mom has just given BIRTH. Exhausted, hurting mothers. I dont think it's a "bad example" to send the baby to the nursery on the first few nights. Whats the other option, like others have mentioned, dropping the baby? Rolling over on the baby? I think a mother saying "I'm too tired to take care of the baby" after birth is the responsible thing to do. Even if she was at home, I would hope she would call for help from the family if she felt so tired she was unsafe to care for the baby. And like others said, in the past, and even now in some cultures, the family takes care of the baby while the mother heals and rests. But that's just my .
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    Quote from A&OxNone
    IMHO, the difference between being home with the baby and being in the hospital, is the mom has just given BIRTH. Exhausted, hurting mothers. I dont think it's a "bad example" to send the baby to the nursery on the first few nights. Whats the other option, like others have mentioned, dropping the baby? Rolling over on the baby? I think a mother saying "I'm too tired to take care of the baby" after birth is the responsible thing to do. Even if she was at home, I would hope she would call for help from the family if she felt so tired she was unsafe to care for the baby. And like others said, in the past, and even now in some cultures, the family takes care of the baby while the mother heals and rests. But that's just my .
    I am well aware that the mom has given birth. And I too have personally been in the mom's shoes, as I previously stated that I too am a new mom. I am all too well aware of the exhaustion that the process puts on the body. I am not naive. And dare I even begin to share that I've been a co-sleeping, breastfeeding mom since day one at that? I think the whole "you'll roll over on your baby!" scare tactics are a bit extreme, but that is an argument for another day and time....

    I also work for a baby friendly facility and externed in one who isnt, but has many of the practices in place (and who might eventually go for BFHI in the future). Traditional "nurseries" in my state just don't exist. Almost all hospitals in my area practice 24/7 rooming in. I guess my opinion is shaped by the hospital practices that I've been exposed to. And each of the hospitals that I've worked in have rave reviews. When implemented right, BFHI can work wonders for mom and babes.

    Additionally, I am not quite sure why I am getting flamed here. I dont bully my patients. I try and honor their requests the best way that I can. And while I am at it, I also educated them and tell the the benefits of 24/7 rooming in, ESPECIALLY if they've stated that they'd like to breastfeed. There is overwhelming evidence out there that supports this in terms of improving the duration and exclusivity of breastfeeding. However, I am not militant and honestly, I think its crap that there is this stigma that BFHI organizations are labeled as such.

    ETA: Baby Friendly also also =/= as anti formula. We have formula available to our patients. Its just that we don't take freebees or handouts, nor do we advertise, and we pay fair market value for formula. So if a mom comes in and states that she wants to formula feed her baby, we can assist her with that.
    Last edit by melmarie23 on Aug 12, '11
    Mec_Happens and klone like this.
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    I have found this very post very informative. I work for a hospital that is considering going baby friendly, and I'm not really sure why. We already promote rooming in, but do allow and occasionally suggest that mom's send their babies to the nursery between feeds if they are obviously exhausted, emotionally or physically. We also have lactation consultants that are available during the day and provide consultation by appointments following dismissal. We have formula and pacifiers available by request only. So, I'm not really sure why we need to pay $1200-2000 annually to have a certification that says we are baby friendly? Of course our LCs very much want to accomplish this, but it seems to me that we could be putting that money to better use.
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    Quote from melmarie23
    You don't just get to send your baby "out" when you take them home. You care for them around the clock. If you are lucky, which I hope most are, you have help at home with the baby duty.
    No, "you don't just get to send your baby 'out' when you take them home," but hopefully by the time you do go home you'll have gotten some rest and you won't be on narcotic pain meds.

    It isn't at all uncommon for the dad to go home with the other children, leaving mom and baby in the room alone. I have seen too many dangerous situations--dropped babies, squished babies, babies buried under blankets-- due to exhaustion, pain, and narcotics to ever turn down a tired mom's request for me to take the baby to the nursery. I am glad we have a nursery to offer. Sometimes just three or four hours of uninterrupted sleep gives the patient a much different outlook and a feeling that, yes, she can be successful with breastfeeding. That little bit of rest gives her more patience and determination.

    We are being asked to make our patients sign a waiver before their babies will be allowed in the nursery. The waiver lists an entire page of reasons why baby should room in and at the bottom it says something like "I would like my baby to be separated from me despite all of the benefits of rooming in. I give permission for my baby to go the nursery despite the fact that we will not receive the mutal benefits of rooming in."
    This is insulting and smacks of intimidation tactics. Experienced/older moms might have the good sense to tear the form in half and laugh (while waving goodbye to their nursery-bound kiddo), but newer/young moms might actually fall for this kind of baloney and either feel false guilt or keep the baby when they can't even keep their eyes open.

    Baby-friendly should not mean mom-unfriendly, as if they're on some giant teeter-totter, where if one is up, the other must be down. It's not a zero sum game. Let's find some balance, for pity's sake and take care of both patients.

    I am very fortunate that the postpartum unit where I work does a very good job of educating and supporting families. Even though we work hard to inform moms of the possible outcomes of their choices, we don't dish out guilt with a trowel. And we never, ever forget that the babies are theirs and not ours. This results in high patient satisfaction scores, but, more important, it's the right thing to do.

    I wouldn't last long at the OP's hospital.
    Last edit by rn/writer on Aug 15, '11
    sharpeimom, morte, hecallsmeDuchess, and 3 others like this.
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    it's sad to hear that intimidation and guilt are being used under guise of "baby friendly". This is no better than in the 70s when my mother was given no choice to BF- her breasts were bound with Ace bandages...babies were taken away directly to the nursery.....they also didn't ask for consent to circumcise my brother. Times have changed & they haven't.

    Before becoming a nurse, I was a doula. I've worked with many women and some really wanted to BF but even with support and time, it just didn't work. They already feel like a failure, the last thing they need is more guilt!

    I have two kiddos and BF both, actually the 2nd til he was 3 yo!! AND my first baby kept her "wooby" aka pacifier until she was 4- & now has naturally beautiful teeth without braces. I support each mom's choice on feeding, pacifiers, sleeping, diapering. You do what works for your baby and family.

    Education NOT intimidation should be the approach here. We want people to make an informed decision, but it's their decision.

    I also agree with many posts about extended families. Geez, moms and babies used to stay in the hospital for a week for a vag delivery! Then they came home to a MIL!
    sharpeimom, grownuprosie, Esme12, and 1 other like this.
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    Quote from klone
    That's inaccurate and unfair.
    It's my experience. I mean no offense but it is what I feel and what my personal journey and experience has been. Anytime a mother is asked to sign a waiver to have her child go to the nursery to get some rest she chastized and told she's a bad aprent and won't be able to bond with ther child to me IS extreme and is using intimidating tactics to bully/guilt/shame someone into compliance.

    "We are being asked to make our patients sign a waiver before their babies will be allowed in the nursery. The waiver lists an entire page of reasons why baby should room in and at the bottom it says something like "I would like my baby to be separated from me despite all of the benefits of rooming in. I give permission for my baby to go the nursery despite the fact that we will not receive the mutal benefits of rooming in."

    It's accurate to my personal experence and just my opinion. I mean no offense to you personally but I think it's unfar to call my experience inaccurate. This is obviously a hot button subject matter and I am not an OB/LD nurse......It is just my personal experience and my own personal feelings towards the extreme concepts by the OP's hospital and that a baby shouldn't have a pacifier. I respect your thoughts and opinions...Peace
    LaughingRN likes this.
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    It's inaccurate to say that La Leche League wants you to breastfeed until your child is 14. It's nothing but inflammatory hyperbole. As someone who was a LLL Leader for 10 years and wouldn't currently be an OB nurse and IBCLC if it weren't for LLL, I find such intentionally inflammatory and inaccurate statements to be hurtful.
    Mec_Happens and melmarie23 like this.
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    Quote from klone
    It's inaccurate to say that La Leche League wants you to breastfeed until your child is 14. It's nothing but inflammatory hyperbole. As someone who was a LLL Leader for 10 years and wouldn't currently be an OB nurse and IBCLC if it weren't for LLL, I find such intentionally inflammatory and inaccurate statements to be hurtful.
    It may not be your experience with LLL but she did say earlier that was her experience dealing with them. Not every LLL is the same.
    sharpeimom, Twinmom06, and Esme12 like this.
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    Quote from nohika
    It may not be your experience with LLL but she did say earlier that was her experience dealing with them. Not every LLL is the same.

    Thanks...... it's hard getting slammed and told your personal experience are inaccurate......Oh well.....I'm going to go and finish an article I was reading on lateral violence in nursing. Peace
    nursejohio likes this.
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    I think the issue here is that we're using a few bad apples to make sweeping [negative] generalizations about organizations and initiatives such as LLL & BFHI. And that I think is what klone meant by inaccurate and unfair.
    ischialspines likes this.


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