Expanding on Step 7, regarding 24-hour rooming-in with mother and infant, we'll look at a study about rooming-in. Tully and Ball (2012) researched the effect of a side-car bassinet on postnatal unit breastfeeding frequency and other maternal-infant behaviors compared to a stand-alone bassinet following cesarean birth. They explain, "Cesarean birth presents a practical barrier to breastfeeding due to limited maternal mobility and persistent postpartum maternal pain.
Despite the high incidence of cesarean, little is known about how hospital practices contribute to or compound the adverse effects of this childbirth context on the establishment of breastfeeding. For the study, a total of 35 mothers were recruited in northeast England over a two year period and randomized into the two types of sleep surfaces. All mothers were exclusively breastfeeding. Nighttime interactions were videotaped and all mothers were interviewed at the end of their study period.
"Mothers expressed overwhelming enthusiasm for the side-car. Participants who received the stand-alone bassinet spontaneously offered that the intervention "would have made a huge difference.” Most women (29 of 35) reported that the bassinet types affected their interactions with their infants...Maternal accounts of their experience indicated breastfeeding after cesarean childbirth is constrained by inability to easily access their newborns while rooming-in. The side-car provided maternal benefit through 'easier,' but not more frequent, breastfeeding." Research documents well the physical barriers the post-surgical delivery mother may have in accessing her infant for frequent in-hospital feeds. Additionally, this provides significant safety issues.
Although the ease of infant access was noted in this study, the sleep surface itself did not have a statistically significant difference on breastfeeding frequency or duration. In their conclusion, the authors state, "Decisions about appropriate postnatal unit arrangements should take into account that families will have individualized needs. Acknowledgment of the risks associated with cesarean does not currently extend to breastfeeding disruption or infant handling issues, despite the extensive debate over the trade-offs of cesarean in relation to vaginal birth. The stand-alone bassinet may not just be inconvenient for mothers after a cesarean, it may be an unnecessary breastfeeding obstacle and institutionalized risk for infants."
What does your birthing unit currently use for infant sleeping surfaces? Do you use the side-car bassinet? Do you allow co-bedding? What are your feelings and ideas about how to provide safety as well as convenience for the breastfeeding cesarean mother and her infant?
The research study was originally printed in The Journal of Human Lactation but can be accessed free-of-charge here https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746007/
Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA CHC
Professional Development Educator
Tully, K.P. and Ball, H.L. (2012). Postnatal unit bassinet types when rooming-in after cesarean birth: Implications for breastfeeding and infant safety. Journal of Human Lactation, 28(4):495-505.
When you visit the Site, we automatically collect certain information about your device, including information about your web browser, IP address, time zone, and some of the cookies that are installed on your device. Additionally, as you browse the Site, we collect information about the individual web pages or products that you view, what websites or search terms referred you to the Site, and information about how you interact with the Site. We refer to this automatically-collected information as Device Information."
We collect Device Information using the following technologies:
Additionally when you make a purchase or attempt to make a purchase through the Site, we collect certain information from you, including your name, billing address, shipping address, payment information (including credit card numbers), email address, and phone number. We refer to this information as "Order Information."
We use the Order Information that we collect generally to fulfill any orders placed through the Site (including processing your payment information, arranging for shipping, and providing you with invoices and/or order confirmations). Additionally, we use this Order Information to:
We use Student Access Information to provide accurate tracking to Users and Clients on completion and use of the courses, as well as for analysis on how to improve our services.
We use the Device Information that we collect to help us screen for potential risk and fraud (in particular, your IP address), and more generally to improve and optimize our Site (for example, by generating analytics about how our customers browse and interact with the Site, and to assess the success of our marketing and advertising campaigns).
We share your Personal Information with third parties to help us use your Personal Information, as described above. For example, with your employer who needs to verify your completion or progress of your studies. We also use Google Analytics to help us understand how our customers use the Site--you can read more about how Google uses your Personal Information here: https://www.google.com/intl/en/policies/privacy/. You can also opt-out of Google Analytics here: https://tools.google.com/dlpage/gaoptout.
Finally, we may also share your Personal Information to comply with applicable laws and regulations, to respond to a subpoena, search warrant or other lawful request for information we receive, or to otherwise protect our rights.
As described above, we use your Personal Information to provide you with targeted advertisements or marketing communications we believe may be of interest to you. For more information about how targeted advertising works, you can visit the Network Advertising Initiative's ("NAI") educational page at https://www.networkadvertising.org/understanding-online-advertising/how-does-it-work.
You can opt out of targeted advertising by:
Additionally, you can opt out of some of these services by visiting the Digital Advertising Alliance's opt-out portal at: http://optout.aboutads.info.
Please note that we do not alter our Site's data collection and use practices when we see a Do Not Track signal from your browser.
If you are a European resident, you have the right to access personal information we hold about you and to ask that your personal information be corrected, updated, or deleted. If you would like to exercise this right, please contact us through the contact information below.
Additionally, if you are a European resident we note that we are processing your information in order to fulfill contracts we might have with you (for example if you make an order through the Site), or otherwise to pursue our legitimate business interests listed above. Additionally, please note that your information will be transferred outside of Europe, including to Canada and the United States.
When you place an order through the Site, we will maintain your Order Information and Student Access Information for our records unless and until you ask us to delete this information. We are required to keep course completion records for at least 5 years in order to comply with certain accreditation requirements.
For more information about our privacy practices, if you have questions, or if you would like to make a complaint, please contact us by e-mail at email@example.com or by mail using the details provided below:
5890 Monkland Avenue, #16, Montreal, QC, H4A 1G2, Canada
Last Updated: September 2018