Uninterrupted Mother-Son tie. Part II
In the first section of this narration, we commented about the crucial importance, for the mother and her child, of the uninterrupted link between them during the first hours after the child´s birth.
Who accompany the mothers and their children should be very carefully and respectfully in such relationship that begins between them immediately after the birth, trying to do nothing to interfere or interrupt this tie so crucial for both of them.
We only support with a thoughtful and alert look, from some distance and through it we can easily identify any change or deviation of the natural or normal process, such that merit some minimal correction.
The arrive of the rest of the family to congratulate the mother and know the child should be gradual, short, joyful, trying to not distract them from such so important link between the mother and her child.
In home deliveries the task for us is easy: The mother and her newborn are in their home! For both we repeat: Is their home, their ambient. For both is familiar.
All flows easily. Both will be this day and the next days in the parent´s bedroom. There and very near will be the bassinet. It will be near them their bathroom.
The newborn will have his clothes. The mother will can dress his child with the clothes such she, with love and patience, selected for this moment. The bassinet will have surely an embroidery blanket for one of the grandmothers!
All this and much more, give us the possibility to obtain an intimate ambient, so essential for them and for their mutual understanding.
The human being is a mammal. For the mammals the direct contact with the baby´s body, skin to skin, is indispensable and determinant for their development. It would be babies with different character and personality: Some of them would like to be virtually all day “pasted” to the mother, others not so. The most important is to adapt to their needs.
The first breast feedings days are not easy. They require patience and calm and the most important a lot of intimacy between the mother and her baby.
Another very different reality occurs when the birthing it produced in a Panamanian Hospital: State or Private Hospital!
For us Obstetricians and Pediatricians the task is much more complicated. We must say: almost titanic!
1- Some minutes after the birth the newborn is detached from her mother and transferred in a transportable incubator! in another floor of the building. The nurses promise the mother “to carry” the baby to her room that is located in other floor three, four hours later!
2- When they give the baby to the mother, the hospital personal “allow” the mother be with her baby maximal two-three hours with the idea to carry the newborn once again to the Rooming In , “to watch over” him until the next turn!
3- During all this time a lot of members of the hospital´s team, like nurses, assistants come in to the mother´s room frequently, during the days of her permanence in the hospital, during the day and at night, measuring her body temperature, pulse, etc.
In the Rooming In, they assure the mother that the baby don´t receive any artificial milk. They explain that occasional they give them some “serum” (water with sugar). The result is absolutely discouraging: The baby arrives to the mother´s room asleep, without hunger. She try to breast feed him and nothing: “he do not want”, “he do not like my milk”. I “ do not produce milk”: These are the unanimous mother´s protests!
The baby became nervous, because she is stressfully.
4- When at the end of their permanence in the hospital and they return to their home, the hospital give away them some artificial tins milk if the baby need because the mother milk production is not enough!
In our country there are only three States Hospital with the UNICEF´s designation: “Children Friends Hospital”. That means: In these hospitals is prohibited the use of feeding bottle for infants and exclusively breast feeding.
Only to give one example: In Sweden, one of the best healthcare lands of the world, all the Maternity Care Hospitals have the United Nations recognition through the UNICEF of “Children Friends Hospitals”.
We believe and are anyway confident that in our country the things are changing. The woman and their families are asking for.
Although still timidly, in some Hospitals of Panama City there are some changes and they are discussing how to make them.
In our mother´s honor and their children invite them to continue in this direction!
Dr. Rodrigo Aybar
Dra. Graciela A. de Aybar