Tricia's question sent me looking through the BFHI document. And Tricia, it appears that you can't give *anything* away, even to mothers who request to exclusively formula feed. 

I'll confess I has never read the "acceptable list" of mothers who may need to avoid breastfeeding. Women who are attempting to breastfeed after a breast reduction (or implants) are not in the situation of "needing" to avoid breastfeeding, but may not be able to exclusively breastfeed. It seems that BFHI (and WHO, etc) do not acknowledge the particular challenges of this population and would require additional documentation of counseling about ebf in these instances.

Can anyone here speak to how their already-Baby-Friendly hospital handles this? (sensitively, I hope!) 

Thanks-
Elizabeth Boggs MD
Women Physicians Associates 
Columbia SC 29203
             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome