"Rooming in" on Mother/Baby - not one size fits all

Specialties Ob/Gyn

Published

When I gave birth to my daughter, I had been up for 48 hours solid. I had PIH and had been vomiting for hours upon hours - and then pushed for three hours until she was born. My husband had been by my side, awake, for the entire time.

I had wonderful Labor/Delivery nurses. They got me through the labor from hell. However, once we got to the PP room, and my beauftiful, wonderfully alert and crying-her-heart-out baby girl was placed with us, the nightmare began. I don't blame the nurses per se, but it was a scary situation. I was NOT alert at all - had a pounding headache, crying at intervals for no real reason (maybe the mag sulfate I'd been given combined with sleep depriation?) I was breastfeeding, so I was frequently trying to put her to the breast, but she was not interested in latching. When the nurse came to check on us, I was crying and told her I was afraid I wasn't doing a good job of caring for my baby, because I felt so exhausted and sick. She told me, "I can sympathize with you, but being that you had a lady partsl birth, and birth is a natural process, it's up to you guys to provide your daughter's care".

I understood what she was saying, and proceeded to hand her over to my husband, who walked with her for an hour or so in the room, and then I slipped into a fitful sleep despite her whimpering. I awakened at 3 am, and saw my husband asleep in the chair with the baby in his lap. I was concerned about the safety of this so I put her back in the bassinet (trailing blood as I got up) and rang for the nurse the one and only time I was there. She was friendly, but said unless I had changed my mind about breastfeeding, the baby had to stay with me.

Needless to say, I had a harrowing night. my Husband tried to help, but he was absolutely exhausted and truthfully handles sleepnessness much worse than I did. I remember pinching myself to try to stay awake so I could comfort the baby.

When the doctor rounded the next morning, I begged to go home. I knew I would get more help at home (because other non-sleep deprived family would be there to help me). He agreed and sent me home.

I'm just wondering what the policy is on this type situation in other institutions. I was breastfeeding, and went on to breastfeed for a long, long time - but honestly, my baby was in jeopardy that first night that she was in our room. Certainly I'm not the only mother who has delivered after days of being awake. I just wondered how other places handle this, or if it's the same.

I wasn't angry with anybody - the situation just really sucked and I wish I could have come up with a better plan.

Specializes in Pediatric Intensive Care, Urgent Care.
When I gave birth to my daughter, I had been up for 48 hours solid. I had PIH and had been vomiting for hours upon hours - and then pushed for three hours until she was born. My husband had been by my side, awake, for the entire time.

I had wonderful Labor/Delivery nurses. They got me through the labor from hell. However, once we got to the PP room, and my beauftiful, wonderfully alert and crying-her-heart-out baby girl was placed with us, the nightmare began. I don't blame the nurses per se, but it was a scary situation. I was NOT alert at all - had a pounding headache, crying at intervals for no real reason (maybe the mag sulfate I'd been given combined with sleep depriation?) I was breastfeeding, so I was frequently trying to put her to the breast, but she was not interested in latching. When the nurse came to check on us, I was crying and told her I was afraid I wasn't doing a good job of caring for my baby, because I felt so exhausted and sick. She told me, "I can sympathize with you, but being that you had a lady partsl birth, and birth is a natural process, it's up to you guys to provide your daughter's care".

I understood what she was saying, and proceeded to hand her over to my husband, who walked with her for an hour or so in the room, and then I slipped into a fitful sleep despite her whimpering. I awakened at 3 am, and saw my husband asleep in the chair with the baby in his lap. I was concerned about the safety of this so I put her back in the bassinet (trailing blood as I got up) and rang for the nurse the one and only time I was there. She was friendly, but said unless I had changed my mind about breastfeeding, the baby had to stay with me.

Needless to say, I had a harrowing night. my Husband tried to help, but he was absolutely exhausted and truthfully handles sleepnessness much worse than I did. I remember pinching myself to try to stay awake so I could comfort the baby.

When the doctor rounded the next morning, I begged to go home. I knew I would get more help at home (because other non-sleep deprived family would be there to help me). He agreed and sent me home.

I'm just wondering what the policy is on this type situation in other institutions. I was breastfeeding, and went on to breastfeed for a long, long time - but honestly, my baby was in jeopardy that first night that she was in our room. Certainly I'm not the only mother who has delivered after days of being awake. I just wondered how other places handle this, or if it's the same.

I wasn't angry with anybody - the situation just really sucked and I wish I could have come up with a better plan.

When my daughter was born the hospital and nurses were awesome!! My daughter's mom had plenty of support from me and the staff to BF. We also had the lactation RN come in so many times i didn't know how we would od it without her when we got home. Now working in a hospital I have come to realize that many hospitals just give lip service regarding being supportive of BFing and some hospitals actually mean it! I notice that although some hospitals encourage it they don't go out of their way to provide the support the new parents need to make this happen when they need it most but they go around touting how they are very supportive of this. I've noticed that it's like the diversity claim...many hospitals put it in their mission statement and website and it looks rather pretty and nice but reality is an entirely different thing. It's one thing to talk the talk but it's another thing entirely to walk the walk! Walking the Walk actually requires you to DO something

Mex

Specializes in Family Practice, Psychiatry.

I am so sorry to hear about this! I had very difficult labors as well -- but was not allowed to have my babies in the room at first because the nurse said, "you went through a lot and really need to rest." I am very grateful for that. I breastfed my children as well.

I did not realize there were hospitals that were not like this!

Specializes in correctional, med/surg, postpartum, L&D,.

I am so sorry this happened to you! I've taken care of many PP moms who breastfeed, and really, I've never heard of a nurse not taking a baby for a little while so the mom can rest.

I have no problems taking the babes out of the rooms to let parents rest. Even if only for a hour at a time. We don't have a nursery per se, but we do have a holding nursery where babies are brought to give mom a bit of respite while they rest.

Most of the mom's I've taken care of don't mind us finger feeding a bit of formula while they catch up on some sleep. They often breastfeed the next time. It actually turns out to be a win/win situation. They're rested and the babies are fed.

I've never heard of a nurse not taking a baby either and I'm dismayed to read this. I would contact somewhere there about their policy in this matter. It shouldn't happen. If the mother is that tired they could drop the baby. It needs to be rectified and the nurses need to be advised otherwise immediately.

I have had two children and both were a great experience.... EVERYONE at the hospital was very nice to me .... from the time i got there till the time i left.... When I wanted my baby in the room with me they gave the baby to me... when I needed to be alone they took the baby to the nursery...... I loved the hospital were I was at ... that is why I went into nursing .......

I am very sorry you had a bad time ....:(

Specializes in Psych, ER, Resp/Med, LTC, Education.

I guess I should count myself lucky! I had a better experience..... I breastfed as well but I always has the option to have the nurses take the nursery if I needed them to. They always would bring me my son to nurse in the night but as soon as I was done they took him back. Or they said they could give him formula in the night if I wanted them to. I kept him in the room as much as I could but this being my second child I knew I needed to take advantage of having the most qualified baby sitters my newborn was ever gonna have!!! LOL So I kept him when I could and when night time came I had him go to the nursery we slept, I was woken a couple of times over night to nurse for a bit and they took him back. Wa la! It was fantastic!!! --- My L&D nurse...well sweet but despite the fact that I could probably put an IV in my self blind folded as I have huge veins--this nurse not only missed but actually BLEW THREE veins!!! Ouch!!! Since I was tired of being a pin cushion and had hot packs on all these site misses I told her to stop so I couldn't get the 2L of fluids in that have be given before you can get an epidural so I couldn't get one.....by the time that I decided to let another nurse try the doc decided to break my water and well exactly 35 minutes later I had a son....no time for an epidural! I was upset about that. But post-partum they were great.

I remember them giving my daughters doll a bracelet life her new brother had and doing all sorts of things to include my then oh maybe 8 or 9 year old daughter. They were really good. I am sorry your experience was not so great....and too I have to wonder if they realize the safety risk to the new baby. Scary!!!

I always offer all moms the option of rooming in or nursery. Breastfeed babies make many trips back to mom, but that is part of the job. I work LDRP which makes this very difficult. We do not have a nursery staffed by an actual nursery nurse.

I am concerned with a hospital that would actually think it is okay to jeopardize an infants safety in this manner.

Sadly, this type of incidence may increase due to the economy and staffing issues. I know our hospital is changing the ratios and I cannot see how we can continue to offer a nursery. I can't be present in a delivery, recovering a section patient, and in the nursery with a baby. Lord help you if you have a distressed baby on top of all these other issues.

I am so sorry to hear about this! I had very difficult labors as well -- but was not allowed to have my babies in the room at first because the nurse said, "you went through a lot and really need to rest." I am very grateful for that. I breastfed my children as well.

I did not realize there were hospitals that were not like this!

OMGs if a nurse or anyone else told me I was "not allowed" to have my baby in the room- I'd be checking out AMA right then and there. Billing be damned. That's MY baby- and if I'm breastfeeding- I know the nurse isn't going to be able to do that for me while I'm sleeping, and I'm not about to try to deal with a screaming baby who has been brought to me for feeding after they're already screaming- that makes it SO much harder to get them to latch on.

This is why I had DH (for #1) and my mom (for #2) stay in the hospital with me- so I could recover and someone was there who was more alert/in better shape to make sure things were safe.

But- honestly- it was FAR more difficult exhaustion wise AFTER getting home. Even after an 18+hr hard/fast pitocin induced labor with no rest between contractions and an emergency c-section and recovery.

There is no nursery where I work so we encourage someone to stay the night and help, it's all rooming in.

Specializes in NA, Stepdown, L&D, Trauma ICU, ER.

Has anyone else noticed that TPTB are actually trending away from patient wishes while fussing about Press Gainey and whatnot? Our hospital is HUGE on "family centered care", and they say we should be putting all babies skin to skin right after delivery (regardless if mom is totally squicked out by the thought of the wet, bloody mess the kid is upon arrival) because skin to skin will apparently fix everything. I know it's beneficial, but some moms really do want baby cleaned and bundled first, and there are some problems that will not be taken care of by simply putting a naked child on moms chest. OH, and we are now supposed to tell mom that it's detrimental to not breastfeed. Everyone knows it's better than formula, and we are all well aware of it's advantages... but really? Dangerous to give a kid a bottle? Aren't there generations of reasonably well adjusted and healthy folks who were kept in the nursery except for 'visiting hours' and given a bottle full of 'nutritionally superior to breastmilk' formula? Yes, mom will be responsible for baby's care at home... but right now she's essentially been up for 67 hours. Take the kid to the nursery and let the poor woman get a nap for crying out loud! It seems like she should still be able to say "I'm exhausted, I don't think it's safe for baby to stay in the room tonight" and have it be respected.

I know skin contact, breastfeeding and rooming in have measurable benefits, but we've still gotta use common sense.

The thing is- once the baby is born, it's no longer just about what's best for Mom- it's also about what's best for the new patient- the baby. Is it best for a newborn to be seperated from their mother and forced to wait for feeding because the mother chooses to breastfeed but doesn't want the baby in room with her to be able to feed when baby shows first signs of hunger as opposed to waiting until they are a screaming mess? I know with both of mine they went from first hunger signs to screaming mess VERY quickly, and with nurses short staffed and it taking a bit to transfer baby- that is a real probability. Is that best for the patient (the baby)? I agree- if mom is exhausted- she should rest- but if she wants to breastfeed- she has to think about her baby- who WILL be hungry, and needs to eat during that time. If baby doesn't eat soon after birth, they can get very sleepy and refuse food later and it can start a very bad situation. Now, if Mom doesn't care about breastfeeding or is OK with risking nipple confusion- the nurses can bottle feed the baby as needed in the nursery- that's fine. But- whether mom is exhausted or not really doesn't change the needs of the newborn.

As to formula and being dangerous- yeah- I get what you're saying- but... look at the health problems our nation is dealing with... We're not exactly a real healthy bunch of people.... And while that may not be attributed completely to infant nutrition- (lack of proper diet/exercise as adults is a huge component) I'd argue that infant nutrition is the foundation of later life nutrition... I wouldn't call formula toxic- it has its place certainly, but I *would* say that one should weigh the issue carefully... Exhaustion is a real concern- yes- but what are the risks/benefits to postponing breastfeeding for sleep? Milk may not get established adequately, baby may have alot harder time wanting to feed (or may be forced to be hungry and screaming because mom is sleeping), or baby may be fed a bottle and have nipple confusion... Is that worth it? Or would it be better to have someone stay in the room with mom for safety so baby can be taken care of? That's a rhetorical question that should be applied to each situation of course. :)

Has anyone else noticed that TPTB are actually trending away from patient wishes while fussing about Press Gainey and whatnot? Our hospital is HUGE on "family centered care", and they say we should be putting all babies skin to skin right after delivery (regardless if mom is totally squicked out by the thought of the wet, bloody mess the kid is upon arrival) because skin to skin will apparently fix everything. I know it's beneficial, but some moms really do want baby cleaned and bundled first, and there are some problems that will not be taken care of by simply putting a naked child on moms chest. OH, and we are now supposed to tell mom that it's detrimental to not breastfeed. Everyone knows it's better than formula, and we are all well aware of it's advantages... but really? Dangerous to give a kid a bottle? Aren't there generations of reasonably well adjusted and healthy folks who were kept in the nursery except for 'visiting hours' and given a bottle full of 'nutritionally superior to breastmilk' formula? Yes, mom will be responsible for baby's care at home... but right now she's essentially been up for 67 hours. Take the kid to the nursery and let the poor woman get a nap for crying out loud! It seems like she should still be able to say "I'm exhausted, I don't think it's safe for baby to stay in the room tonight" and have it be respected.

I know skin contact, breastfeeding and rooming in have measurable benefits, but we've still gotta use common sense.

Specializes in OB.

This situation is ridiculous! I've worked OB for 11 years in a unit with all LDRPs. Most moms do room in but they always have the option of sending the baby to the nursery.

The whole point of being in the hospital is to recover from your delivery and have HELP!

The nurses in this situation should have taken the baby to the nursery for a few hours and taken her to the room for feedings when needed. That is our job.

I'm so sorry to hear about your experience. Next time, I'd ask about their postpartum policy prior to deciding where I'd deliver.

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