Hello

I have looked in the archives but didn't find exactly what I was looking 
for, although similar questions have been asked. So I am hoping that those 
of you out there in hospital settings can help me.

I work in a midwestern hospital that has about 1000+ births a year. Our 
breastfeeding rate is around 70%. The nursing staff and physicians are 
really quite supportive of breastfeeding. We encourage rooming-in, but 
rarely see it--most moms will opt to send their babies to the nursery at 
night. And it seems that more and more often moms are asking that their 
baby be supplemented overnight with formula."He's hungry", "he won't go to 
sleep", "I don't have enough milk"........sigh............you all know the 
frazzled new-mom worries. I can see that moms and dads who have taken a 
breastfeeding class are more prepared for "reality", but many parents are 
not.

I am compiling ideas that the nurses can use to encourage the moms to offer 
the breast instead of asking the nurses to feed the formula, but my real 
question is this:
In hospitals that do not have a "normal" newborn ( central) nursery, do you 
also encounter these frequent requests for night time formula? If so, how 
do you handle it? Is there a difference in mindset, if nothing else, if the 
mom herself does the supplementing? Is she perhaps less likely to do it? Is 
there any research out there?

Thanks for any ideas,

Kirsten RN IBCLC

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