I just got back from the hospital- my first newborn since I got priveledged in
April- saw mom this am and she was really going to BF no bottles etc... we
discussed nipple confusion and her sister is currently BF'ing and attends LLL
meetings- so she was going to lend support- but I see on the chart- "Breast &
Bottle" and that she did get half an ounce twice today- the RN's in the nursery
were telling me how they think breast and bottle is the best thing and thats
how they did their own children and they never had any problems and how what
they see is mothers whose baby is loosing wt and having low d-sticks and they
have to convince them to take formula- I was trying to explain to these nurses
how they just happened to be lucky and research bla bla bla-

anyway- what I've always felt since I was in a 3rd yr Med student in 1995 was
that the HOSPITAL POLICY is LAW and the nurses are the police who uphold these
laws

the RN's were insisting to me that it was the mother who wanted the bottles- at
first they also said that she was going to be in the nursery over night- but
then I said that I thought we (the mother and I ) had discussed in the morning
that she would nurse over night so then on rechecking her notes she said that
she was mistaken, the baby would "go out at 1 and 3"

How do I approach this mother tommorrow w/out sounding accusatory "What
happened? Why did the baby get the bottles yesterday?"

Amy Kotler MD FAAP
Dover Pediatrics

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