The Transition to Rooming-In

This weekend I read an article in the Boston Globe entitled, “Maternity wards are moving away from nurseries.” Did you, by chance, read the same article?

The backlash described in this story made me think about our Boulder, CO area hospitals where rooming-in was made standard practice years ago. The rational and evidence behind this shift is now well understood among our local birthing families. Mothers are not surprised to learn that they’ll be rooming-in with their newborn babies. In fact, they welcome it!

Such a shift required a dedicated effort from all parties, yielding positive outcomes and thus healthier families, research shows. However, as with most new initiatives, there can be an expected amount of resistance. The question is: How much stress needs to be endured along the way?

When your hospital or birth center initiates a transition in protocol — especially a protocol that has been engrained in the culture of care for decades — getting all stakeholders aligned can be rough, as evidenced by the overarching sentiment in this weekend’s Boston Globe article, “Changing culture is hard,’’ says Lori Pugsley, nurse director of the Mass. General Obstetrics Unit and Special Care Nurseries.

What would make these types of transitions easier for everyone involved? At iBirth™, we believe knowledge-sharing plays an essential role.

WHAT IF as soon as you learned that your clients were experiencing a gap in expectations around what you do and why you do it, you could address such gaps proactively for the next clients?

With iBirth™ App, you can!

Take for instance our Tips and Lists section.

With our custom designed Tips and Lists Section of the iBirth™ App, your wise, helpful, tried and true pearls of wisdom are available to your clients day and night, 24/7. You and your staff are able to organize your very own knowledge and wisdom, therefore providing your clients proactive intervention, right when they need it most.

For hospitals transitioning to new rooming-in protocols, we make it easy for you. To start, our app is aligned with the Baby Friendly Hospital Initiative. To take it a step further, in an effort to create an environment of more personalized care, what would you put in the Tips and Lists section of your iBirth™ App? How would you speak to the expectation gaps your clients are currently experiencing?

Watch iBirth™ App in the news and see how Centra Health System shaped the app uniquely to their clients’ needs:

ABC News – Lynchburg

One comment on “The Transition to Rooming-In

  1. Hi,
    I would just like to comment on this article. Five years ago I became a certified doula (have since let it lapse) but I feel it is relevant. I did so because I realized the lack of support for women in labor after having at that time of my own. I helped with many births. I believe in rooming-in too; I think the concept is on target for all of the right reasons; however, I don’t believe people should be forced into it. Like everything we learn providing care for people, not everyone and every situation is the same and we cannot expect everyone to be put in the same box. Let me share my personal experience: After baby 7 my doctor, who is very kind and thoughtful, said I should take 2 days in the hospital because I needed the rest. He was right. Usually I room in with my babies but I was completely exhausted and was very happy to have a nighttime nursery available because this gave me the extra rest I needed to go home and care for my newborn and my family. This was a repeat situation with baby 8; I was well rested and very happy and able to function upon returning home. You also have to understand that because I am high risk we have to travel to have babies so my husband usually leaves to go home with the other children. My experience with baby 9 was terrible. First when I needed to shower after birthing I asked for a nurse to just make sure I didn’t pass out as I was feeling lightheaded. She acted really put out. Then that night my baby was rooming-in with me (he was born at 7:30 am) we hadn’t slept that much during the day so I was looking forward to us both crashing that night. He was up fussing until midnight. I called the nurse and asked if she could just take him for a few hours so I could sleep. “No, we no longer have a nighttime nursery,” was the reply, “we don’t even have it for the C-section patients,” she reported proudly and she left. So around 3 am the next day he finally went to sleep. Starting at 7 am that morning people kept coming in and bugging us for one thing or another…vitals, hearing screening etc….even though I had requested to be left alone to rest. I called my husband and told him I was coming home with him that afternoon so asked him to bring the car seat. I told him that I could get more rest with 8 children at home and that he would better take care of me than the nurse the afternoon before. I think hospitals need to reconsider taking the nighttime nursery away completely; even leaving just one nurse on for night shift would help. And in my experience, it led to a lack of care or concern for the mother as well. For those of us who are on board for all the natural good stuff, sometimes situations arise that require some assistance. Rooming-in with no assistance and then having medical professionals who are totally sold on a concept rather that what is best for the patient is wrong too.

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