Not exactly sure it is ethical. What is your hospital's standard of practice? Changing the policy would certainly give you more support.  But there are a few things I would like to address.  If your facility is going baby friendly, is there support from upper administration?  This is one of the major reasons CEOs are required to sign on early in the process.  The formation of a BF task force that includes physicians who champion rooming in and admitting infants with mom, should also assist in these kinds of power struggles.  As far as this particular patient?  I'm wondering it they can "refuse" the admission nursery process, much like some patients refuse Vit K or eye ointment at delivery?  I'm also wondering if your state's breastfeeding coalition may be able to lend some help in supporting you in the process. 

Change is hard.  I think most hospital struggle with the rooming in step the most.

Denise Bulpitt RN BSN IBCLC
St. Vincent's
Bridgeport, Ct

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