Hello to all.  I am an on-call lactation specialist at a small, rural
hospital and am looking for any copies of newborn standing orders from
other facilities that reflect a more "watch the baby" approach to infant
feedings after birth.  I have already looked through the archives and found
lots of helpful information on feeds during the first 24 hours, but nothing
about example standing orders. Our perinatal committee (composed of all of
our OB nurses, OB docs, pediatricians and myself)is meeting next Wednesday
to discuss revamping our very outdated Newborn Physician Standing Orders,
which currently state the following: "  First feeding (breast/bottle)
within one hour of birth and not to exceed every four hours thereafter."
The staff has been interpreting this to mean that they need to either force
breastfeeding or supplement the babies with formula if they don't meet
these criteria. Most of them know the full-term babies are best when left
to their own schedules but they don't want to go against hospital orders.

Any information from any of you in this regard would be so helpful and
appreciated!  You can email me privately at [log in to unmask] if you have
information on file, or to request my mailing address.

Mary McMullen, M.S., R.D., C.L.C.
Lactation Specialist, Payson Regional Medical Center, Payson, Arizona

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