How does this happen again? A mom was induced because the MD said the baby  
would be 10 lbs--no, he weighted 7 + lbs. Mom and baby was discharged without  
the baby ever nursing-told to rent a pump and give pumped milk.  Ped said  he 
would see the baby in 2 weeks. Mom lives on a barrier island. I went to see  
the baby as a friend on day 4. Baby is not nursing, mom is pumping and also  
letting grandmother give ABM in bottle at night so mom can rest. She did not  
want my help even though I offered a consult as a baby gift. Baby was the color  
of very ripe squash and very sleepy.  I did feel an obligation to discuss  
jaundice and dehydration management, warning signs, etc. The hospital had not  
given any information on this. The baby is getting a bottle every 4-5 hours. Of 
 course this is the hospital where my daughter delivered and even with me  
standing there, after being identified as an IBLC, the nurse still told her she  
needed to give water because it is so hot at the beach.
Why does this continue to happen? Would this facility discharge a surgery  
patient without discharge teaching? If the baby had surgery, wouldn't  they have 
given instructions for infection control?
 This hospital is a satellite hospital of the one here in my town  which has 
formed a committee to apply for Baby Friendly status. They just don't  get it. 
To be Baby Friendly means that babies need to be breastfeeding--not  pumping 
and drinking from a bottle, not given ABM gift bags so the moms will  have it 
handy, not using nipple shields ( now rampant in our town), and mothers  have 
to be educated and helped to breastfeed when problems occur.
URRRRRRH! ( big growl)
 
Barbara Whitehead, BS, IBCLC, RLC 
Eastern NC

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