What's your protocol immeadiately after birth?

Specialties Ob/Gyn

Published

Hi there,

I was watching an interesting show last night on Discovery Channel about women's issues/birthing in various countries. They taped the labor and delivery of women in a number of different countries, Ireland, UK, Africa, Russia, Middle East, India, etc.

I thought it was interesting to observe what I guess are the "cultural" differences in how the women and newborns were treated by the nursing staff and in post labor care. ie. in Russia the doctors and nurses are more like "coaches" and the spouse is rarely ever in the delivery room. In Africa it was just one nurse with the patient, no family etc. and the nurse was a little tough on the woman, "no crying, no playing around" etc. In Ireland the mother gets a quick glance and they take the child to be cleaned up and then the baby is presented to the mother again to be held.

Also, because it was Mother's Day weekend there was a whole weekend of "Maternity Ward" and I got to see how it works here in America. ( I don't have any children of my own yet.)

I guess I was wondering what do you do with the newborn immediately after the birth? Do you give the mother and father a quick glance and then get it cleaned up and swaddled and then present it to the mother? In Russia they immediately took the child after birth and even before cutting the cord, put it to the mothers breast and the staff called it the "American Method". But judging by the episodes of "Maternity Ward" it seems that in America the staff takes the child and assess, cleans up, etc. and then gives to the parents.

I was just wondering what it's like where you work if in the US there are regional differences or personal preferences of the staff.

Also, I couldn't help but feel how lucky women in America are with all of our "birthing centers" "Private Labor rooms" etc. Seeing the hospitals, etc. in other countries we truly are lucky to have the resources and technology that many other countries do not.

Originally posted by babynurse32

In the unit in which I worked as soon as baby comes, she is put up on moms chest before the cord is cut. Dad or the coach can cut the cord, the nurse dries baby off while on moms chest. If baby is not well it is immediately taken to the warmer and given oxygen, etc. If baby is well it stays with mom for a few minutes then we take the baby to the warmer to get dried off and put in clean blankets. As long as all is well, we give the baby back to mom and breast feeding is initiated. Mom and baby stay in the DR for about an hour after birth and then mom goes to her room and baby to the nursery. Bath, meds and everything else is done there.

DITTO, at my hospital!

some nurses, who shall remain nameless, like to get the babies up quickly, say at 15-30"....others, like me, tend to keep them 60-90". The "RULE" is baby to be in nursery by 60" of age.

Haze

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Our babies never enter the nursery if they are well unless to be weighed or PKU done. Usually, if parents prefer, I will do these procedures in their LDRP with them observing. It's a great learning opportunity for them and they trust us more when we are doing things in their presence.

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