Babies. (1) This clause applies to babies who are less than 12 weeks old.
(2) An employer must not employ a baby for more than one hour on any one day unless –
(a) a registered nurse, registered midwife or registered maternal and child health nurse is present at all times; and
(b) a parent or guardian of the baby is present at all times; and
(c) the registered nurse or registered midwife advises the employer that the baby is fit for employment; and
(d) the registered nurse or registered midwife advises the employer that the environment in which the baby is to be employed is unlikely to cause the baby to become distressed; and
(e) the employer follows the advice of the registered nurse or registered midwife in all matters that relate to the welfare of the baby.
(3) An employer may employ a baby for one hour or less on any one day provided that –
(a) one of the baby’s parents or guardians is present at all times; and
(b) the employer is satisfied on advice from the parent or guardian that –
(i) the baby was delivered full term and in good health; and
(ii) the baby’s birthweight was at least 3 kilograms; and
(iii) the baby has not had any post-natal problems; and
(iv) the baby is feeding successfully; and
(v) the baby’s weight gain from birth has been satisfactory.
(4) An employer who employs a baby must not allow the baby to be exposed to harmful lighting.
(5) An employer must not allow makeup to be applied to a baby unless the makeup is non- irritating and uncontaminated.
(6) An employer must not allow any person who is known by the employer to have a respiratory or skin infection to come into contact with the baby.
Babies. All babies should be routinely monitored whilst in skin to skin contact with mother or father. Observation to include: • Checking that the baby’s position is such that a clear airway is maintained– observe respiratory rate and chest movement. Listen for unusual breathing sounds or absence of noise from the baby • Colour - the baby should be assessed by looking at the whole of the baby’s body as the limbs can often be discoloured first. Subtle changes to colour indicate changes in the baby’s condition • Tone – the baby should have a good tone and not be limp or unresponsive • Temperature – ensure the baby is kept warm during skin contact. • Mothers will be enabled to achieve effective breastfeeding according to their needs (including appropriate support with positioning and attachment, hand expression, and understanding signs of effective feeding). This will continue until the mother and baby are feeding confidently. • Mothers will have the opportunity to discuss breastfeeding in the first few hours after birth as appropriate to their own needs and those of their baby. This discussion will include information on responsive feeding and feeding cues. • A formal feeding assessment will be carried out using the Unicef Breastfeeding assessment as often as required in the first week with a minimum of two assessments to ensure effective feeding and the well-being of mother and baby. This assessment will include a discussion with the mother to reinforce what is going well and, where necessary, develop an appropriate plan of care to address any issues that have been identified. • Mothers with a baby on the neonatal unit will be supported to express as effectively as possible and encouraged to express at least 8 times in 24 hours, including once during the night. They will be shown how to express by both hand and pump. • Before discharge home, breastfeeding mothers will be given information about recognizing effective feeding and where to call for additional help if they have any concerns. This leaflet will also contain informed about the local support services for breastfeeding e.g. Proactive Management of Breastfeeding, BF support leaflet/ baby café, National Breastfeeding helpline number 0300 100 0212 o This will be done both verbally and in writing (in paper or electronic format) and if needed in different languages. o xxxxx://xxx.xxxxxx.xxx.xx/babyfriendly/baby-friendly-resources/foreign- language-resources/ For those mothers who require additional support for m...
