In an effort to stem the flood of formula being given to breastfed
babies in the hospital, some hospitals place formula in their
medication distribution system such as Pyxis. This will log each bottle
used, the name of the nurse who withdrew it, and the reason for its
use. This helps educate nurses regarding overuse or inappropriate use
of formula and keeps them from loading up mothers with a bag of bottles
at discharge. Some hospitals that require parents to sign consent forms
for formula supplementation have policies that require a lactation
consultant to observe the next breastfeeding following bottle
supplementation. Some consent forms are very simple and others list
possible side effects of formula supplementation.
Marsha Walker, RN, IBCLC
Weston, MA
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