>  -----Original Message-----
> From: 	Abdun-Nur, Katherine  
> Sent:	Friday, November 04, 2005 10:56 AM
> To:	[log in to unmask]
> Subject:	formula supplementation at night/nurseries
> 
> We do not have a nursery, (except for a 2 bay sick baby nursery- unstaffed- except in an emergency) and we have about 800 births/year. We transfer out sick or preterm babies.  Parents are educated that babies room-in with them. (we have built-in cots for Dads/grandmas).  Once in a while, we have a mom coping poorly, or is medicated, and has no support person. In that instance the baby may come out to the station for a little while and be held by one of the staff who is not busy. (if available) Certainly this is not routine. Since we don't have a nursery, it's much less an issue.  
> I find that using the tools designed to demonstrate infant stomach size at birth, 3 days, and 10 days, to be most useful for parents (and staff). Moms seem reassured by the visual that just a few drops in the first 24 hours will fill up their little ones. We don't supplement breastfeeding babies without a medical reason. When our moms ask for formula, she's educated about why that's not the best option. Usually she understands. If she insists, then at least she's informed.
> Best of luck.
> 
> Katherine Abdun-Nur RN IBCLC
> Lactation Service
> Three Rivers Community Hospital
> 500 SW Ramsey Avenue
> Grants Pass, OR   97527
> (541)472-7223
> 
> 


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