A little while ago, for the day job, I had to find out different 
practices involved in reducing supplementation and I asked senior 
midwives in Baby Friendly hospitals what they did.

The only thing that appears to work is for supplementation to be 
*recorded* in every individual case, for mothers not to help 
themselves to it, and for the HCP to record the reason, and to record 
that she has explained the risks of formula supplementation to the 
mother, and for the mother to sign that she understands the risk. 
'Maternal request' is not enough of a reason, and nor is 'doctor's 
orders' - it has to be more detailed than this.

When this sequence of notes is not carried out, then the HCP has to 
explain to her manager why.

Posters and pleadings and videos are not enough. It has to be 
integrated into professional practice, with each practitioner being 
responsible for their own practice and wrtiting it down.

Heather Welford Neil
NCT bfc, tutor, UK
-- 
http://www.heatherwelford.co.uk

http://heatherwelford.posterous.com

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