Originally Posted by MoonHasBeams
In the hospital where I work, it's pretty common that a mom and baby can be discharged after 24hrs after an uneventful vag delivery, pending no other subsequent baby issues
There have been instances in which a mom wishes to discharge with her baby <24hrs, and the ped usually consults me to chat with the parents about their desire to leave in this "quick" timeframe (for hospital-based births). It's true, I am mandated by hospital policy to notify the dept of social services where the family lives.
this is a mechanism that the hospital must engage to ensure the safety of babies
Ok, so am I understanding correctly that you do NOT have to have a "chat" with any family who does NOT wish to leave early?
If yes, so, in other words, families who keep their mouths shut & don't request to leave any sooner than normal aren't subjected to this mini "investigation."
That has got to be one of the stupidest things I've ever heard.
It's like a "net" to catch potentially abusive/neglectful parents, but a net with such massive holes that you'll rarely catch anyone in it - if you're only screening parents who request to go home early! Shoot, if I were abusive or neglectful, I'd do my best to stay off
the radar & would be LESS likely to request anything out of the ordinary, like early discharge!
I know such a 'chat' isn't a big deal. And I THINK we had a social worker chat with us too in the hospital as first time parents. But it was a standard thing for everyone and, at least in my perception, it was more to HELP us & answer any Qs we had about resources & assistance we might want/need, than it was to "check up on us" to make sure we wouldn't be abusive. It wasn't "checking us" to see if we were fit parents. BIG DIFFERENCE, IMO.
Just the IDEA that to request something so normal & what should be typical as discharge <24 hrs "requiring" a "check up" ticks me off. I"M NOT A CHILD! This is MY BABY & I shouldn't be "investigated" unless there is good cause. And I sure as
shouldn't have to wait to "pass" - wait for "approval" before leaving with a healthy newborn in <24 hours.
(Sorry, Moon, I know you are just the messenger - I'm expressing outrage at the State's policies, not you personally. I'm sure lots of families are lucky to have your assistance!)
Originally Posted by Lady Lilya
Parents should be free to do as they wish UNLESS there are red flags, not restricted until cleared by an authority.
Exactly! Well said! You expressed how I felt in a much more succinct & eloquent manner. Yeah -> that!
All this being said, I was GBS+ with my DS & didn't have time for antibiotics, so standard is to stay 48 hours. (Which is stupid & not evidence-based since early-onset-GBS infection shows symptoms within 24 hours in 90-some% of cases, whereas LATE-onset-GBS infection can not show up for 3 weeks. So, 24 hours should be the limit, but, ya know, whatever, to heck with science & stats.
I decided not to fight it.
It wasn't that bad. Really wasn't. Nurses were awesome, room was HUGE & plenty of seating for my many visitors. They even had the paperwork ready to go so we could walk out the door at 48 hours on the dot. Yeah, the food was bad, but DH brought me stuff. It was nice having help cleaning meconium diapers.
& as a FTM, having someone show me again how to swaddle.
Again, I was in the hospital for 48 hours & it really wasn't that bad.
There were other tiny perks too - like a free massage! Having the birth cert & social security paperwork taken care of is another bonus & chores I'm not looking forward to with my upcoming HB. So, overall, I'd try not to sweat it too much if you're stuck a bit. You got some fantastic ideas from MoonHasBeams on how to make it happen, but if you're still encountering problems or just decide it's not worth the hassle, then really, I don't think being stuck is all THAT bad if it's a decent hospital.