The following 3 posts from the most recent digest lead me to wonder if these
kinds of "required interventions" are going to drive more knowledgable moms to
chose home birth where they can be in charge.?

"I was told today at a hospital where I am teaching that a
formula inservice is saying to staff that Baby Friendly is causing infant
falls"

"I am an IBCLC at a hospital. We are slowly working towards becoming baby
friendly, however our physicians are not supportive of 24 hour rooming-in. Our
hospital procedure is that babies are admitted to the nursery after delivery.
Some mothers request that their babies be admitted in the room and continue 24
hour rooming in throughout the stay. The pediatric department has now issued a
statement that in order for mother's request of 24 hour rooming in be granted,
that they must have a birth plan signed by the pediatrician and if the baby is
admitted to the nursery, the mother nor father can come in with the baby because
it is a "closed" nursery. So, my question is....is this ethical? Can the
hospital really force parents to have their babies admitted in the nursery and
require a signature otherwise? And can they force parents to stand outside the
nursery to "watch" their baby be admitted?"

"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."

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