Antibiotic eye ointment right after birth/pediatrician woes - Mothering Forums

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#1 of 28 Old 07-25-2007, 12:30 PM - Thread Starter
 
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(X-posted in Birth and Beyond!)

There are 2, count'em TWO choices in our town for pediatrics. So we are interviewing with both practices and had our first meeting last night.

One question I had was about the antibiotic eye ointment after birth. Mainly, I wanted clarification on why they think it is necessary and whether I would be able to delay it or waive it so the baby can see us immediately after birth.

And this was the pediatrician's answer:

"Well, they started it in the 1940's to prevent syphallis (sp). Now we do it to prevent many different kinds of infections because let's face it, you and I both know that is not a clean place the kid is passing through and he could get anything from std's to ecoli."


Did this guy realize he was talking about MY BODY?

He also said that he would delay it only up to about 1/2 hour and would not ever recommend waiving it because eye infection would be 'very likely.'

Anyone else had an experience like this or know what's up with the eye ointment?

To tell the truth this pretty much pi$$ed me off...

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#2 of 28 Old 07-25-2007, 12:34 PM
 
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Yeah, that would really piss me off too. Jeez. :

I would hope that the second meeting will go better....

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#3 of 28 Old 07-25-2007, 12:35 PM
 
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And I would also like to say that I feel reasonably confident that the majority of babies were just fine before the 1940s and the advent of eye ointment. It's not like they all suddenly came down with bad cases of eye funk or something.

Obviously, it might be a good idea if you have some sort of STD, but in normal births, I can't see the point.

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#4 of 28 Old 07-25-2007, 12:39 PM
 
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Yeah, so that guy is a whack job. And he is clearly using fear as an intimidation tactic to get you to do what he thinks you should do. AND... as he seems to think that all vaginas are skeevy, I feel really bad for his wife (assuming he has one).
I refused the eye ointment in the state of Maryland, and had to sign a waiver, but it was worth it. No eye infection ensued. They don't even do the ointment in the Netherlands (where I'm headed), and they have a much more progressive birth culture there.
For me, the bottom line is that I know I do not have syphillis, period. If they use the ointment as a preventative measure, and you know you don't have syphillis, your baby shouldn't need it. That line he gave you about other infections baby could get from the "tainted" vagina (SO offensive!) was just a fear thing. As far as I know, it has no basis in fact.
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#5 of 28 Old 07-25-2007, 12:52 PM
 
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Scare-mongering, fear based BS! I wouldn't want someone like that anywhere NEAR my precious baby! And neither should you!

~Marie : Mom to DS(11), DS(10), DD(8), DD(4), DD(2), & Happily Married to DH 12 yrs.!
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#6 of 28 Old 07-25-2007, 12:58 PM
 
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I did a lot of research on it when I was preg with Ds. It was started to prevent an infection from STDs in the baby's eyes. This is since been questioned . This is from the AAP
Quote:
The results suggest that parental choice of a prophylaxis agent including no prophylaxis is reasonable for women receiving prenatal care and who are screened for sexually transmitted diseases during pregnancy.
As for it being used for 'other infections' that is just bs.

I had a link to the association of eye docs (not the actual name ) that stated they did not recommend routine use of eye prophylaxis, but I can't seem to find it right now.
From what I understand it's not a law in all states. So find out if it is, and then if there is a waiver. There most likely is. If you post in your FYT tribal areas you may find someone who has a copy of the waiver and has experience.
Good luck

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#7 of 28 Old 07-25-2007, 01:19 PM
 
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Just stand by your opinion and decline the eye ointment. If you don't have chlamydia or gonorrhea (not syphilis), you *don't need it*. You can sign a waiver if necessary, but in my case (in NC) I didn't even have to do that: I just stated in the birth plan and again after delivery that we didn't want it, and we had no problems.

I don't like the sound of this guy. Are there any family practitioners that are better? Personally I don't think a specialist pediatrician is all that necessary--when I was a kid we only ever saw the family doctor.

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#8 of 28 Old 07-25-2007, 01:37 PM
 
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Good point!!! If your two choices in peds are poor, then check out the family doctors. We love ours

Sandy, proud mama and henna artist. :
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#9 of 28 Old 07-25-2007, 01:43 PM
 
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Oh my gosh.. run! If s/he thinks vaginas are so dirty, how's he going to treat my children's bodies as they grow? And since WHEN does e-coli end up in the eye?

I second the thought that if you don't like the peds, go to a family doc. I once thought I NEEDED a Ped because they're specialists in children and I do tend to look for them first, but if I had a choice between a jerkwad Ped and a nice, knowledgeable family doc, I would take the latter.

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#10 of 28 Old 07-25-2007, 02:23 PM - Thread Starter
 
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You guys are awesome. And its good to hear that my hesitation on the ointment isn't unreasonable! I think checking out the family practitioners is great advice!

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#11 of 28 Old 07-25-2007, 03:00 PM
 
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FWIW, I think they gave DD the ointment in the hospital, and she ended up with a case of pink eye anyway when she was 1 or 2 weeks old. So, doesn´t seem to do much good does it?!
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#12 of 28 Old 07-25-2007, 03:03 PM
 
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If he is that concerned about your vagina being a playground for bacteria you can squirt some breastmilk in her eyes.
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#13 of 28 Old 07-25-2007, 03:07 PM
 
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Quote:
Originally Posted by blueridgewoman View Post

Obviously, it might be a good idea if you have some sort of STD, but in normal births, I can't see the point.
Just want to say that mamas who have STD's are normal people and have normal births as well.
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#14 of 28 Old 07-25-2007, 04:03 PM
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Both my older sons were born in hospitals and I let them put in the eye goo, with ds1 because I didn't really know anything about it and with ds2 because I was afraid he'd pick up something from being in the hospital. Ds2's right eye started watering a lot after they put the stuff in and by the time we got home it was producing pus and matting up when he slept. Clearly he had some kind of infection started. We got rid of it with colloidal silver, but I don't have too much faith in the antibiotics now. I suspect the infection was introduced when they put the stuff in.

This time we're having a homebirth and no eye goo (among other things).
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#15 of 28 Old 07-25-2007, 04:43 PM
 
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If you are looking for a family doctor anyway, see if you can find one who delevers babies as well! Mine does and because I have an on-going relationship with her it's been great discussing things with her. Plus she's fine with no eye goo!

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#16 of 28 Old 07-25-2007, 06:08 PM
 
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Originally Posted by artgoddess View Post
Just want to say that mamas who have STD's are normal people and have normal births as well.
good point!
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#17 of 28 Old 07-25-2007, 06:44 PM
 
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Ditto what the other mamas have said, and I'd go so far as to mention that personally, I PREFER family docs over peds. We had a ped with ds1 until he was about a year old, then we switched because the ped's practice changed their policy about vaccinations (refused to see us anymore because we don't vax, and didn't even bother to let us know ahead of time--just told us when we came in for a scheduled appt that we'd have to get ds "up to date" on his vaccines that day or they couldn't let us keep the appt! )

Anyway, we switched to a family doc who is great about our decision on vax, and is very supportive about our parenting style. I love that she tends to our entire family--I think it goes a long way towards building trust.

For example, we have friends who's 9 mo fell off a bed and broke his femur. Freak accident (actually, the mom thinks perhaps his older brother may have accidentally stepped on him when he rushed to pick him up after the fall), but it was an accident. Now, of course I understand that doctors are required to report certain things, etc., and that's fine. But the pediatric practice my friends were going to treated them with so much suspicion and hostility. I do not believe we would have experienced that disrespect and lack of understanding/compassion with our family doctor, simply because we have established a relationship with her, she knows us and treats us as a family.

Now, she's sharp and I have no doubt that she would pick up on (and deal with appropriately) any true abuse issues. But in the same way that I prefer to treat my whole body to prevent or overcome illness, rather than just looking at specific symptoms, etc., I think that a doctor who treats a whole family, as a unit, can go a long way toward helping that family prevent or overcome illness, and continue to function as a family unit, rather than just separate beings living under one roof.

KWIM? Good luck and blessings!

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#18 of 28 Old 07-25-2007, 06:56 PM
 
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oh man, i would love to ask him whether he automatically defers the eye ointment for babies born by c-section, cuz, you know...those little ones didn't pass through their mama's disgusting germ ridden vagina.

:

run, do not walk, away from this doctor.

Quote:
Oh my gosh.. run! If s/he thinks vaginas are so dirty, how's he going to treat my children's bodies as they grow? And since WHEN does e-coli end up in the eye?
:
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#19 of 28 Old 07-25-2007, 07:35 PM
 
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Drops in the eyes has become a routine procedure. I waived it in the hospital and just simply told the nurse and asked them to give me a waiver to sign. There eyes are fine. Remember, you don't have to ask, if you educated yourself and decide not to, then your pediatrician has no say in the matter. But I would find another one anyway after that comment. I did get some reactions from nurses and some of my peds in my group, but I stood firm on my decision and didn't care what they thought.
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#20 of 28 Old 07-25-2007, 08:31 PM
 
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YIKES! I think I woulda punched him in the face talking about my body like that lol.. what an a-hole! Anyways, I waived the eye ointment and vit k because I dont have stds lol.. I signed a waiver and that was the end of it lol
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#21 of 28 Old 07-27-2007, 02:02 AM
 
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The pediatrician I've chosen has also pushed the eye ointment. She said that even though I may not have any STDs, the vagina still has all kinds of other yucky bacteria in it that can affect the baby. I told her I didn't want it anyway but she said if the baby's eyes start looking funny, he'll have to get it. I just don't understand it. She was cool about not doing Hep B, but eye ointment? I didn't think I'd have to argue with someone over that!

: Mom to a wonderful teen girl, a happy little boy and a cute baby girl
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#22 of 28 Old 07-27-2007, 03:22 AM
 
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are these peds going to be at the hospital you deliver at? My understanding (and I've never had a hospital birth so I don't know) is that the attending ped at the hospital is who sees the baby. Your ped isn't going to come down and push the ointment, right? Especially not within 30 minutes?? It seems like you'd be fighting this fight with the hospital staff and that should be easy enough to just offer to sign the waiver and move on.

We passed on the ointment too. No need if you don't have gonorrhea or chlamydia.

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#23 of 28 Old 07-27-2007, 09:10 AM
 
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Quote:
Originally Posted by GinaRae View Post
And since WHEN does e-coli end up in the eye?
E coli. can get into the babies eyes when s/he is born because it is very near the rectum and e coli is part of our intestinal natural flora... however it is very unlikely and the conjunctivitis that e coli causes is treatable and as far as I know doesn't cause blindness.

I'll be declining ointment at my next birth. I declined with dd and they did it anyway (they forgot) when I wasn't paying attention... I'll be paying closer attention next time!

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#24 of 28 Old 07-27-2007, 11:03 AM
 
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(X-posted in Birth and Beyond!)
He also said that he would delay it only up to about 1/2 hour and would not ever recommend waiving it because eye infection would be 'very likely.'
Well, just because he said he wouldn't recommend waiving does not mean you cannot waive it. I refused it when I had a hospital birth, and would do so again.

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#25 of 28 Old 07-27-2007, 04:29 PM
 
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Just wanted to add that while I was already planning to waive the eye goop, since I'm clear of STDs, it also seemed fairly non-invasive to the babe--but now I've seen a friends newborn who had a nasty reaction to the ointment, and I'm definitely not going to do it for ours. Our friends baby had bright red marks all around her eyes, wherever it touched her skin. A few days later the red was gone, but the skin was peeling. Very sad for such a tiny baby!

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#26 of 28 Old 07-27-2007, 04:49 PM
 
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i waived the eye goop and vit k. the hospital ped gave me a lecture on the vit k thing but i just said thanks, but i've done my own research and still dont want it.
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#27 of 28 Old 07-27-2007, 06:08 PM
 
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Just anecdotal, but my ds1 was the only one who had the goop (we had written in our birth plan that we would decline it, but they "forgot" and applied it before I could pull myself together enough to pay attention. I immediately wiped off as much as I could, but I doubt that did any good )

Anyway, he was the only one with goop, and the only one who had a plugged tear duct. It finally cleared up at around 14 months, but in all his early pictures, that eye was a bit red and runny. Even know, at 5 years, if he's starting to get sick, I'll see it in that eye first. I have no idea if there's any connection to the goop or not...

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#28 of 28 Old 07-27-2007, 06:43 PM
 
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Originally Posted by Alohamelly View Post
she said if the baby's eyes start looking funny, he'll have to get it.
That's NOT her decision. Just say no, period.

~Marie : Mom to DS(11), DS(10), DD(8), DD(4), DD(2), & Happily Married to DH 12 yrs.!
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