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Cesarean section ,skin to skin

Ob/Gyn   (1,212 Views | 4 Replies)
by Dformola Dformola (New) New

546 Profile Views; 3 Posts

There are new trends to encourage skin to skin contact right after an infant is stabilized to immediately start skin to skin contact on moms chest .Yesterday during a planned cesarean section I was the circulator in the OR ,my supervisor who was designated baby Transitioner .While the obstetrician was closing she placed the infant skin to skin ..and notified me she was going now .Has anyone ever been asked to circulate and have the dual role as transition nurse ? This was so unsafe

Edited by Dformola
Granted

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sirI has 30 years experience as a MSN, APRN, NP and specializes in Education, FP, LNC, Forensics, ED, OB.

16 Followers; 19 Articles; 13,333 Posts; 141,507 Profile Views

Hello @Dformola

We moved your thread to the OB-GYN forum to elicit the best response.

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klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,558 Posts; 119,020 Profile Views

At my last facility we routinely did StS in the OR. The baby nurse would stay in the OR with the circulator, and then follow them out to PACU. She would help the circulator (now PACU nurse) get mom and baby settled, hooked up to monitors, etc, before leaving.

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12 Posts; 413 Profile Views

I agree that this seems unsafe. If skin to skin is being done in the OR, there needs to be another nurse besides the circulator who is responsible for baby.

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AZBlueBell has 1 years experience and specializes in Labor and Delivery.

410 Posts; 6,589 Profile Views

Skin to skin in the OR is great! But it is, and should be, the responsibility of the baby nurse to oversee that skin to skin time. As circulator, we have enough we have to do and physically are unable to watch over the skin to skin time! Doesn’t matter how close to the end of surgery they are. I agree, that was an unsafe situation. If your unit is to continue the practice of skin to skin in the OR, I think better practices and expectations should be in place.

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