In reply to the question about central nurseries.  We have a central 
nursery in our facility where we deliver about 2000 a year. We have been 
successful at significantly increasing rooming in and decreasing 
supplementation in the past year with staff education about 
supplementation. Staff members are also required to educate mothers about 
the effects of supplementation on production and long term success of 
breastfeeding.  We have also changed the way that we instruct parents about 
their nursery/rooming alternatives.  Breastfeeding families are given two 
options at night: keep the baby in the room with mom or send it to the 
nursery where it will be brought back and forth to mom's room as hunger 
cues or shown or at least every 3 hrs, whichever comes first.  We strongly 
advise against breastfeeding infants staying in the nursery all night.  
Good luck.

Lori Wenner, RNC, BSN, brand new IBCLC

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