>I am a private practice LC in South Florida, USA. Recently, I attended a
>physicians' breastfeeding task force meeting for one of the large hospital
>systems in our area. As might be expected, the focus was on the many
>roadblocks to breastfeeding encountered in the hospital. During the
>discussion, an OB suggested that having parents sign a consent that noted
>some of the risks of ABM feeding might serve as a way to 1) give uninformed
>parents pause before giving formula and 2) track which nurse was responsible
>for giving the parents the formula.


Ana, this is a practice in many UK maternity units.

It's generally regarded as good practice - it has to be monitored, 
though, and midwives who give formula even under these conditions 
have to be prepared to justify the decision with their managers. 
They need to record the mother has been told of the risks.

Some units accept the words ' mother's choice' written on the 
documentation; others need more details.

Heather Welford Neil
NCT bfc, tutor, UK

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