To Sterilize or Swab, That is the question: The effects of cesarean delivery on the neonatal microbiome. (In development for Fall 2016)

Time-frame: 60 minutes
CERP: no

Two emerging practices are at loggerheads in American Obstetrics.  One practice recommends sterilizing the maternal birth canal prior to cesarean delivery in an effort to reduce post-operative infections.  The opposing practice recommends “seeding” the newborn with the maternal birth microbiome by swabbing the mucus membranes with his mother’s birth canal secretions.  This presentation will explore the rationale and consequences of both actions in an effort to understand and perhaps spur future research into the value one or both of these practices.



Jarold (Tom) Johnston CNM, IBCLC


Country: United States of America
Phone number: 910-964-7679
Email: jjohnston@methodist.edu
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Publications

Labor and Delivery in my Pocket: “Fetal Death”

Tom contributed a small section on perinatal loss and bereavement care to the first and second edition of this handy little pocket guide for Labor and Delivery nurses.

New route of Danazol for Endometriosis needs more study

Johnston, JT & Ericson-Owens, D. (2004) “New route of Danazol for Endometriosis needs more study” JNMWH 49(6) p. 546-8

In this article the authors discuss the use of a Danazol loaded IUD tested for the treatment of endometriosis.

On Bed Sharing [Letter]

On Bed Sharing [letter]  JOGNN 37(6), p. 619-21. Nov/Dec

In this letter to the editor the authors discuss a recent study regarding the hazards of bed sharing and attempt to counter arguments that American mothers continue to sleep with their babies despite knowing the risks.  The Authors took issue with the statistics used and the exaggerated risks portrayed in the original published article.

Dads in Breastfeeding (published in Breastfeeding in Combat Boots, 2010)

Published in Robyn Rouche-Paull’s groundbreaking book on Breastfeeding while serving in the US Military, this little piece lays out breastfeeding for new fathers using military friendly language that all Soldiers, Sailors, Airmen and Marines can understand.  Perhaps the most popular section is the appropriation of the well known basic rifle marksmanship acronym SPORTS as a troubleshooting mantra to help fathers fix a bad latch.  Mrs. Rouche-Paull has kindly modified that section into a father friendly handout for public use.

breastfeedingincombatboots.com/wp-content/uploads/2015/06/Dads_Breastfeeding_PERSONAL.pdf

Fatherhood

Johnston, J.T. (2013) “Fatherhood”.  Breastfeeding Matters, La Leche League of the United Kingdom.

A brief article written by a father, for fathers in the UK.  This article discusses useful tips that fathers can use to help his wife and child breastfeed successfully.