-----Original Message-----
From: Jan Barson
Sent: Tuesday, 17 September 2013 2:14 PM
To: 'Lactation Information and Discussion'
Subject: RE: LACTNET Digest - 16 Sep 2013 (#2013-496)
As a midwife and a maternal and child health nurse in Australia, we would only recommend scheduled 2-3 hrly feedings if the baby was small, jaundiced , sleepy and showing no wt gain or very slow to gain. We would encourage the mother to express if the baby wasn't feeding well to maintain the mother's supply and to have EBM to supplement if possible. We would never rec formula unless the baby was losing weight and unwell and we had tried every other which way to BF or offer EBM. There are a few private hospitals in Melbourne who will still push scheduled feeds and jump for the bottle of formula but it is rare and we hate it.
Tks
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of LACTNET automatic digest system
Sent: Tuesday, 17 September 2013 2:00 PM
To: [log in to unmask]
Subject: LACTNET Digest - 16 Sep 2013 (#2013-496)
There are 2 messages totaling 95 lines in this issue.
Topics of the day:
1. hospital RN's recommending breastfeeding on schedule
2. bfhi formula policy
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Date: Mon, 16 Sep 2013 18:26:46 -0400
From: "K. Jean Cotterman" <[log in to unmask]>
Subject: Re: hospital RN's recommending breastfeeding on schedule
Trish writes:
<For those of you who work in hospitals, I'm wondering if this is an issue for anyone else out there. RN's that tell moms to bfd every 2 to3 hours instead of on-demand, and scare new mothers if the baby has slept more than 3 hours and convince them to give formula because baby missed one feed.>
No need to reinvent the wheel or "take on" the staff and supervisors by yourself.
Evidence-based info noted while "trolling" through reference books today:Academy of Breastfeeding Medicine Protocols #3, #5 and #7, in multiple languages.
http://www.bfmed.org/Resources/Protocols.aspx
ABM Clinical Protocol #3: Hospital Guidelines for the Use of ...
www.bfmed.org/Media/Files/Protocols/ABMProtocol_3%20Revised.pdf
by ABM Protocol - 2009
Also great WHO information:
http://www.who.int/nutrition/publications/infant.feeding/WHO_NMH_NHD_09.01/en/
WHO | Acceptable medical reasons for use of breast-milk substitutes www.who.int/nutrition/publications/infantfeeding/WHO_NMH_NHD_09...
Search the WHO .int site ... WHO and UNICEF agreed to update the list of medical reasons given that new scientific evidence had ... The process was led by the departments of Nutrition for Health and Development (NHD) and Child and ... Nutrition · Nutrition publications · Infant and young child feeding list of publications ...
K. Jean Cotterman RNC-E, IBCLC
WIC Volunteer LC Dayton OH
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------------------------------
Date: Mon, 16 Sep 2013 20:19:47 -0400
From: "Jessica L. Callahan" <[log in to unmask]>
Subject: Re: bfhi formula policy
I wonder if it would help to decrease the frequency of this happening by having a policy or routine in which every infant who receives 'free formula' has to have a note placed in their chart with the lot number and expiration date of each bottle provided to them.
I know this may not seem like a 'big' deal but a nurse who is busy truly doesn't have the time to chart all this information and if they don't have the time to chart it they may just decide not to do it.
The reason to chart this information would be for the next recall. If your facility has the formula that is recalled then you would have a way to contact the family and inform them.
Jessica Callahan IBCLC, RN
USA, NC
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End of LACTNET Digest - 16 Sep 2013 (#2013-496)
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