on 18/6/02
wrote:
 
hospitals current policy stands because they say that yes, they do clean the baths, but no amount of cleaning can get rid of every single germ that is put in there.  We were also told during ante-natal (16 months ago) that the hospital policy on water births was a NO because they were concerned with workplace health and safety re: Midwives backs leaning over the bath, slipping etc.  
 
What may help this cross contamination issue is the alternative use of birthing pools with disposable linings - either in the original 'bath' or in a frame pool. Anyway, the same sort of germs/contamination is evident on hospital bed matresses, pillows, chairs and regular baths - whats the difference?
I used to advise my A/N class parents (on the advice of my sister who is a doctor herself!) to take in disinfectant wipes to clean toilets, basin edges and baths before they used them. (However this is from an English perspective when often bathroom faclities were shared between 2 or more labour rooms). I have had to clean blood from the previous occupant off the facilities in the past when I had my first baby in hosp.!!! - needless to say the next were home births!! 
Cross infection in hosp. - ESPECIALLY a maternity unit as part of a general hospital is an absolutely major issue and infection after C/S, episiotomy and other open wounds is a real threat to otherwise healthy postnatal women.
However - don't know what the solution is except for suggesting that home birth offers a real benefit by excluding non-familial 'germs' from the equation of this risk factor.
Steph.CBE

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