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Skin to skin after delivery

Ob/Gyn   (780 Views 7 Comments)
by Kldrn9963 Kldrn9963, MSN (New Member) New Member Nurse

Kldrn9963 has 18 years experience as a MSN and specializes in nicu management.

872 Profile Views; 10 Posts

What practice does your hospital follow for skin to skin after delivery? Do you continuously monitor the baby on a pulse ox? How often do you get vital signs in the baby? How long to you keep them skin to skin? Does a staff member stay in the room at all times with the mom and baby? Have you had any difficulty with your process?  Any feedback would be greatly appreciated.

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klone has 13 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

3 Followers; 13,300 Posts; 114,911 Profile Views

Yes, we practice this with every baby as part of having Baby Friendly designation (unless there is a medical need for baby to be at the warmer). We keep the infant skin to skin for at least an hour or after the first feed. No, we don't do continuous pulse ox monitoring. We do q 15 minute vitals. No, it doesn't require a nurse to be in the room constantly, although that first hour there are so many tasks involved with recovering both mom and baby that usually there is a nurse in there pretty consistently.

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LibraSunCNM has 10 years experience as a MSN and specializes in OB.

1,230 Posts; 24,933 Profile Views

What klone said---goes for both the freestanding birth center and the large academic medical center where I work.

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babeinboots has 2 years experience as a BSN, RN and specializes in Labor and Delivery.

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Everything Klone said except I’ve worked at facilities where the vitals are every 30 minutes after the initial set of vitals that has to be taken within 15 minutes of life. 

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

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On 7/20/2019 at 1:33 PM, klone said:

Yes, we practice this with every baby as part of having Baby Friendly designation (unless there is a medical need for baby to be at the warmer). We keep the infant skin to skin for at least an hour or after the first feed. No, we don't do continuous pulse ox monitoring. We do q 15 minute vitals. No, it doesn't require a nurse to be in the room constantly, although that first hour there are so many tasks involved with recovering both mom and baby that usually there is a nurse in there pretty consistently.

Pretty much the same for our facility as well, except we do q30min vitals on baby. No specific timeline for baby staying skin to skin. We encourage at least until the first feed or  first hour, but we’ve had moms that keep baby with them until the last possible second. “Hey, we need to transfer you to postpartum and need to get baby weights and measurements first”.  Our facility sees a lot of natural mamas and so constant skin to skin is very common for us.

 

 

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klone has 13 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

3 Followers; 13,300 Posts; 114,911 Profile Views

Most of our moms are not natural, but the nurses are still really good about encouraging skin to skin and early breastfeeding. Our IOL rate is about 50% and our epidural rate is >75%.

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AlleeBooRN specializes in OB, ER.

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We do 30 min vitals x4, then 1 hour, then qshift.  We do 60 minutes of sts

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