Great!  I will read it, Debbie, thanks :)
Jackie

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Debbie Slater
Sent: Tuesday, 10 June 2003 7:08 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] KEMH (baby under the light)


As you say, Maggie, parents are often given information which they do 
not - indeed cannot - take in because of the stresses of the situation. 
    From my experience of working with parents in SCBU - parents often 
need this information to be reiterated several times - once is often not 
enough.  Unfortunately - the stresses of working in neonatal units/ 
shift patterns and so on - often mean that it is very difficult to do 
this.  This is where supporters/ advocates who have experience of this 
situation can be of great help.

One common communication problem is the issue of feeding and when babies 
can go home.  Many mothers receive mixed messages/ perceive information 
about establishing feeding, and when their babies can go home that they 
get terribly anxious and can cause all sorts of misunderstandings - 
through no fault of anyone in particular - just the dynamics of the 
situation.

There is a wonderful book - "Crucial Decisions at the Beginning of Life" 
by Hazel McHaffie.  It makes harrowing reading at times, and although it 
is about the impact of making decisions for treatment withdrawal from 
young babies, many of the issues it raises, and suggestions it makes, 
are relevent for babies in neonatal units - whether or not they are very 
ill.  Communication is one issue that is particularly highlighted.

This book won the Medical Book of the Year for 2002 from the British 
Medical Association.  It is available from ACE Graphics/ 
Birthinternational - and there is a review (done by me :-))on the web 
site http://www.acegraphics.com.au/product/book/bk697-review.html

Debbie Slater
Perth, WA


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