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Friday, March 25, 2011
FOR IMMEDIATE RELEASE
April Kermani, Certified Professional Midwife
BABY HELD AT HOSPITAL, NURSE CALLS CPS WITHOUT CAUSE AFTER PEDIATRICIAN GIVES OK TO RELEASE BABY
Las Vegas, NV – A mother laboring under the care of Certified Professional Midwife, April Kermani was transported to Summerlin Hospital Tuesday for stalled labor. Dr. Donald Roberts assumed care, and the mother gave birth vaginally to a healthy baby girl about 7 hours after admission. On Wednesday the parents, Cecilia and Lincoln Rogers, were told they could not be discharged without a blood test for jaundice, a common and typically harmless condition among newborns. The test results came back with slightly elevated levels of bilirubin, indicating a mild case of jaundice.
The nursing staff told the parents they would have to place their daughter, Lilia Taylor Rogers, in isolation to undergo phototherapy and not allowed to nurse, but fed artificially with formula instead. They refused the treatment since newborn jaundice will usually resolve itself within two weeks. The AAP (American Academy of Pediatrics) recommends that jaundiced newborns continue to breastfeed regularly, as frequent feedings help remove bilirubin in the body. They were told by the attending pediatrician they were cleared to take the baby home and follow up with their midwife and pediatrician over the next several days.
A pediatric nurse then reported the parents to social services and the police, for unknown reasons. Their newborn baby was held against the parents' will at Summerlin Hospital for well over 24 hours. “We are being treated like criminals,” says the distraught mother. The CPS social worker calls the case “ridiculous.” Lilia’s bilirubin levels were back within the normal range very quickly.
Baby Lilia was released to her parents after being separated for over 24 hours. The family is enjoying being at home and loving their new baby, but will now have endure the stress of going through the CPS system unnecessarily.
Jaundice and Treatment Information:
American Academy of Pediatrics (AAP). Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004;114:297-316.
The parents refused formula and wanted to use breast milk and sunlight to work through the jaundice and this treatment plan was supported by both her pediatrician and myself (parents midwife). For the baby's billirubin level this was an appropriate treatment plan. This baby was out of her parents custody for 24 hours. Meaning all decisions for her care were legally out of their control. She was given formula and subjected to multiple billirubin tests. We sometimes forget how much power hospital staff can have. Baby is now home safe and sound with her parents.