Consent to Supplement Term Newborn Infants

The American Academy of Pediatrics recommends that routine supplements
of formula for breastfed infants should not be used.  

The nursery at Cedars Sinai Medical Center does not routinely supplement 
babies with formula for the following reasons:

 •The suck on a bottle is different from the suck on a breast.  A
breastfed baby can become nipple confused and have difficulty latching
on to the breast.
 •Formula is slower to digest than human milk which increases the time
between breastfeeding sessions
 •Studies have shown feeding a healthy term newborn frequently on demand
without supplements encourages early milk production (24-48 hrs.).  The
increase in number of feedings and early milk production will decrease
the chance of jaundice and provide better weight gain for infants.
 •Exclusive breastfeeding may decrease the risk of allergies.


DATE: __________________        TIME: ___________________

I,____________________________, authorize the nurse to supplement
                (Mother Name)

_____________________________, with formula in the following situations
                (Baby Name)

 ______ at mother's discretion once during the night
 ______ if baby continues to cry after nursing

________________________           __________________________
Signature of Mother                           Witness

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