Mandi Porta wrote in that she will be coordinating
BFHI for the hospital where she works...

It was helpful at the facility where I work to do a
survey of supplementation practices.  The results
found VERY high rates of AIM supps being given at the
bedside, without medical indications, mainly at night,
mainly via the fingerfeeding/eyedropper method,
sometimes for infants still under 24 hours of
age....AAAAACK!  I do not recall off the top of my
head what the stats were regarding supps requested by
parent(s), or suggested by bedside staff.  Thankfully,
all the hard work paid off! Incidents such as these
seem to have decreased.  It is unusual now, when
checking a baby's Kardex, that I find the baby has
been fingerfeeding.  (We still have work to be done,
though! Just a week ago, overheard a staff member
saying the mother had "nothing" in her breasts...sigh!
 Whimper.  Shriek.)

Mandi, the website for the Academy of Breastfeeding
Medicine has excellent information with a list of
medical indications for supplementation, as well as a
list of situations in which supplementation is NOT
indicated.  With sympathy for the fried moms, it does
clearly state that a sleeping mother is not considered
a medical indication...

You have taken on a mighty task...good for you!  To
quote Flylady, "Patience and baby steps!  You can do
this!"
Warmly, Carole Jernigan
IBCLC, Mary Birch Hospital for Women
San Diego, California


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