Although I agree that there are times that night nurses plan to help
mothers breastfeed at night and then are asked by the mother to keep the
baby in the nursery, I wonder how diligently some nurses work at informing
mom of the potential risks, or even of the fact that if the baby stays in
the nursery, he will be supplemented (of course, there are some nurses
who do, but those who are not so committed to helping breastfeeding
mothers I'm sure don't). One recent example is a mother who
was determined to breastfeed but having had a very difficult labor and a
C/section, "took advantage" of the nursery at night after she had made her
wishes clear that the baby should be brought to her for all feeds.  In
fact, the first night that's exactly what happened.  So, naturally, on the
second night she just assumed that if she said keep the baby in the
nursery, they would do the same thing.  When she didn't get her baby at
all and the next day the baby had no interest in nursing, I checked the
chart. The nurses had documented "baby fed formula in nursery at mother's
request".  There was no carry over from one night to the next, and the
mother's request to have the baby stay in the nursery was easily
interpreted as "feed in the nursery".  This is why I believe that
rooming-in is the best way to avoid such problems. Alicia.