hi all,

2010/1/23 Ginny Combs <[log in to unmask]>:
> Hello,
>
> I work at an urban hospital with about 4000 deliveries a year. We know we have a significant problem with supplementing BF infants with formula for a variety of inappropriate reasons and want to begin the process of decreasing this number and change the whole culture of supplementing.
>
> In other hospitals that are Baby Friendly or are heading that way- how do they handle supplements when EBM or donor milk is not available? What is the criteria for supplementing? Is an MD order obtained?
>
> I see such a problem with parents who do not keep the infants in the room past 10:00 at night, the nursery fills with screaming hungry infants and the mothers tell the nurses that they are too tired to feed the baby and to please give "JUST ONE BOTTLE" which is maddening to say the least!!!
>

well, i'm not medical personell whatsoever, but i'd say: close the
nursery, make 24h rooming-in the norm.
and create an environment where bedding-in is possible (putting the
bed with one side to the wall).
generally: try to follow the 10 steps for babyfriendly hospitals, even
if your house does not plan to enter the registration process.

hth,

nina
-- 
Because the Medieval Church, with the support of kings, princes and
secular authorities, controlled medical education and practice, the
Inquisition constitutes, among other things, an early instance of the
"professional" repudiating the skills and interfering with the rights
of the "nonprofessional" to minister to the poor. -Thomas Szasz, The
Manufacture of Madness-

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