-
RSS

Recent Posts

Preventing Sore nipples
10 Points of Positioning
Undeterred The Story of Carlette Edwards
Shirley Morales Copenhagen 1973
Working in the Hospital

Categories

About us
Breastfeeding
Fathers
Raffle
powered by

My Blog

Working in the Hospital

Hello everyone time for an update. I am still doing home visits for one on one help with breastfeeding all over long beach and surrounding areas. I still teach BSN students mostly from West Coast University. I am also the full time Lactation Consultant for Hollywood Presbyterian Hospital, Interestingly I am the only Lactation Consultant we have and we deliver about 300 babies a month. So needless to say I am really busy.  I am constantly studying because the field of Lactation is growing at a very rapid rate and research is finding new information every day. Plus I don’t want to become a quack, so I need to stay updated. That’s one of the reasons I came to the hospital is to learn breastfeeding from a clinical perspective and to have a chance to work with all sorts of situations. Doing home visits for the last 6 years along with my years at WIC has taught me a lot I did not learn in a book.

Everyone has their own views and values and you would be amazed at how different breastfeeding challenges can be from one person to the next. I have worked with all nationalities, in various atmospheres at varying intervals of lactation ranging from one hour old infants, to two year old toddlers, from young poor teen parents, to wealthy middle-aged couples in their homes. I have helped Caucasian, African American, Hispanic, Pilipino, Korean, Armenian, and Indian, Turkish and Russians, even some refugees whose visit was more nodding and sign language than actual conversation.

 I have been blessed to work with babies who are premature, have Down syndrome, cleft palates, trisomy 13, hematomas, broken clavicles and pelvis bones, torticolis and clubbed feet. Babies exposed to drugs like heroin and methamphetamines. I have worked with babies who didn’t make it through the hospital stay, but were able to spend a precious few days breastfeeding before going to heaven.  I have learned so much but daily it is apparent that there is so much more to learn. Working in the hospital has given me an opportunity to see firsthand many of the challenges mothers and professionals face postpartum.

 

When I come to work every day the nurses are always happy to see me, they say “yah Sandra’s here” then they give me a list of people to see in mother baby unit, Peds and NICU. It’s really nice to be needed. See before I came people told the nurses not to give formula but no one taught them how not to give it. I teach them how to listen to the patients concern, help with breastfeeding and I give them tools they can use to prevent or delay supplementing during the hospital stay, with empathy and compassion. Also in the hospital you have to deal with numbers. There are goals and measure sets, like Baby Friendly’s exclusive breastfeeding rates and Perinatal Core measures by the Joint Commission and CDC that determine how well a hospital is functioning.

On top of that some doctors don’t mild a little supplement in the early days and they really don’t like us using alternative feeding methods like syringes to feed newborns. Now I know that sounds crazy right? Why would a doctor not push for exclusive breastfeeding? But here’s the deal. First of all exclusive breastfeeding when it is not going well can pose a risk if the infant is not being well hydrated and taking in enough calories. Even though any Lactation Consultant will tell you 99% of mothers produce breastmilk, colostrum comes in small amounts and can be temporarily delayed based on several factors. Match that with sore nipples and Peer Review and you have a doctor who says just give a little formula with a nipple and follow up with a Lactation Consultant. When a patient is readmitted after recently being discharged a doctor has to go before a board of his peers to determine if he handled the patient correctly before discharging. As far as alternative feeding methods they are afraid someone will choke and they feel babies eat more when given by artificial nipple.

Now with respect to delays just think when a mother has a cesarean she is laid on her back for the first 12-24 hours, not given any water or food and is instead given liquids through her I.V.  So day one she is very uncomfortable, dehydrated and in pain. On day two she can finally start to move but she has a lot of swelling form the fluids. Colostrum is now temporarily delayed from the edema, even though she did see colostrum on day one. By this time the nurse is encouraging mom to get up and walk. Mom has sore nipples, she is trying to pass gas, have a bowel movement and start eating regular food. The baby is in second day syndrome is fussy wants to curl up with mom and eat frequently.

I always say day one doesn’t tell the story days two does. Due to the delay the baby will stop pooping and possibly becomes a little jaundice or stop peeing and get a little dehydrated. This is when the mom and the doctor start demanding formula.

When breastfeeding is going well it’s wonderful but when it is not going well it can be very challenging. Some babies make me sweat and really work for my money. Each time I walk into a room or a new home, I don’t know what I will see until that door swings open. There are no blanket answers I give people. I take all of my knowledge and all of my experience and when I get there, I throw it all out and deal with the person right in front of me. Each family has to be assessed separately and individual care plans will vary based on each person, the current situation, the efficacy of the mother and infant and the milk supply.

 


24 Comments to Working in the Hospital:

Comments RSS
uk on Tuesday, October 17, 2017 9:45 PM
This article is very nice as well as very good. I have known very important things over here. I want to thank you for this best read. I really appreciate sharing this great
Reply to comment


uk writing company on Thursday, October 26, 2017 7:43 AM
This article is very nice as well as very good. I have known very important things over here. I want to thank you for this best read. I really appreciate sharing this great. Keep such sharing such a beautiful Recipes
Reply to comment


Alix on Wednesday, April 25, 2018 2:37 AM
Amazing history about you when you are working in hospital. I am very glad to see your posting story and after reading this i must want to appreciate your efforts.
Reply to comment


alix on Wednesday, April 25, 2018 2:38 AM
Amazing history about you when you are working in hospital. I am very glad to see your posting story and after reading this i must want to appreciate your efforts. more
Reply to comment


Albert on Monday, May 7, 2018 10:18 PM
What a great and interesting post! I like your writing skills and appreciate your working effort making on this post. Thanks for sharing sound deadening mats from UK
Reply to comment


davidjackson on Tuesday, May 8, 2018 3:14 AM
This website is very informative and useful for the mothers. The information which you share in these post related to breast feeding is very well. I think its good topic it become very helpful. Women get a lot of information from this. Thanks for sharing this. top supplier of rubber flooring
Reply to comment


olymptrade on Sunday, May 20, 2018 11:51 PM
“Sometimes I feel like if you just watch things, just sit still and let the world exist in front of you - sometimes I swear that just for a second time freezes and the world pauses in its tilt. Just for a second. And if you somehow found a way to live in that second, then you would live forever.”
Reply to comment


storspelare on Friday, June 1, 2018 4:34 AM
the primary point here is adhere to a gambling club offering not too bad clubhouse rewards, reasonable recreations you like, dependable club bolster dealing with its players!
Reply to comment


carbonlessformsco on Monday, June 4, 2018 9:40 PM
You have provided good information. I would love to read more on such topics. Thank you very much for it and carry on it.soft copy of invoice forms
Reply to comment


annonymous on Wednesday, June 13, 2018 1:33 AM
good post
Reply to comment


alextyler on Wednesday, June 27, 2018 3:46 AM
This website is very informative and helpful for the mothers. The blogs you share related to breast feeding and information you discuss in this is very . I really appreciate your effort on this. Thanks for sharing this all. Keep sharing. sale best quality tarpaulin sheet
Reply to comment


Bet at home on Sunday, July 22, 2018 12:09 PM
These rewards can be utilized to play recreations like spaces, blackjack and then some!
Reply to comment


playojo on Wednesday, August 29, 2018 1:12 PM
That is simply to even the chances in light of the fact that there is a "slight" favorable position to the "Bank" wager over the "Player" wager.
Reply to comment


Cresus casino on Monday, September 10, 2018 5:09 AM
afhankelijk van een limiet van een bedrag. In de meeste online club's zou het aantal% ongeveer tien tot vijftien procent. Er is geen vaste regel operation dit punt.
Reply to comment


Highlow on Monday, September 17, 2018 6:33 AM
While some Forex merchants have created frameworks that enable them to exchange various settings, for example,
Reply to comment


James Murphy on Friday, October 19, 2018 4:22 AM
You have posted very informative article about breast feeding. You have made a great research for writing this post which is excellent. rubber matting for logo mats
Reply to comment


Glued Carbonless Forms online purchase on Monday, November 26, 2018 12:45 AM
You have provided good information. I would love to read more on such topics. Thank you very much for it and carry on it.
Reply to comment


BEN on Monday, January 21, 2019 4:00 AM
You have provided good information. I would love to read more on such topics. Thank you very much for it and carry on it. Office Forms
Reply to comment


nintendo eshop card on Tuesday, May 14, 2019 2:24 AM
We know that many of our readers are unable to make a credit card at their Switch eShop account - or feel too dangerous.
Reply to comment


Shane Watson on Monday, June 24, 2019 8:57 PM
Fantastic blog here you have done a very good work to share a very good post with us taking out your time to explain in detail.Thanks. rubber roofing
Reply to comment


Robert on Monday, June 24, 2019 9:53 PM
Your work is really great I like your blog. Your article is very informative Thanks for sharing this blog. gym mats
Reply to comment


Lara john on Monday, June 24, 2019 10:01 PM
I am thankful to share the nice and cool post. your blog is really cool and great post. buy Industrial mats in best price
Reply to comment


Williamson on Friday, June 28, 2019 9:46 PM
What a great and interesting post. I like your writing skills and appreciate your working effort making on this post. Thanks a lot! popcorn boxes
Reply to comment


Edward S. Ferguson on Saturday, June 29, 2019 9:19 AM
Need help installing a new window Air Conditioner Installation? Let Sylvane show you how to do it yourself in this step-by-step how-to guide.
Reply to comment

Add a Comment

Your Name:
Email Address: (Required)
Website:
Comment:
Make your text bigger, bold, italic and more with HTML tags. We'll show you how.
Post Comment
Website Builder provided by  Vistaprint