Dear Lactnet Friends:

(None of that crap about a little formula helps mothers get to exclusive
breastfeeding that was published in Pediatrics shortly before a new
"formula for supplementation" was launched!)

In-Hospital Formula Supplementation of Healthy Newborns:
Practices, Reasons, and Their Medical Justification

Marija Boban  and Irena Zakarija-Grkovic

BREASTFEEDING MEDICINE
published ahead of print August 2016

Abstract
Introduction: In-hospital formula supplementation is a common practice and
has been shown to be a strong determinant of shorter exclusive and any
breastfeeding.

Objective: To investigate the reasons for and circumstances in which
in-hospital formula supplementation occurs and whether the stated reasons
are medically acceptable.

Materials and Methods: This prospective cohort study was conducted among
342 mother-infant pairs from April to July 2011 at the Department of
Obstetrics and Gynecology, University Hospital of Split, Croatia. Data were
collected based on ‘‘every feed’’ charts and WHO/UNICEF ‘‘Questionnaire for
Monitoring Baby-Friendly
Hospitals’’. We used WHO/UNICEF Baby-Friendly Hospital Initiative and
Academy of Breastfeeding Medicine documents on indications for supplemental
feeding.

Results: During the first 48 hours and entire hospital stay, 49.5% and
62.8% of infants, respectively, received supplements, given on average
16.68 – 18.6 hours after delivery. In 94.1% of supplemented infants,
healthy newborns were given artificial milk, of which 5.9% of mothers had
not been notified. The most common maternal reasons for supplementing were
‘‘lack of milk’’ (49.8%), a ‘‘crying baby’’ (35.5%), ‘‘cesarean section’’
(11.5%), newborn weight loss (10.6%), and sore nipples (10.1%). Of all the
given reasons, 24.6% were
categorized as being medically acceptable. Primiparas were 1.3 times more
likely to supplement in hospital, whereas multiparas were 1.3 times more
likely to exclusively breastfeed.

Conclusion: In our study, most reasons for formula supplementation of
healthy term newborns were not standard acceptable medical reasons,
indicating a need for improved maternal support, revision of hospital
policies, and training of hospital staff.

warmly,
-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Author:* Complementary and Alternative Medicine in Breastfeeding Therapy*
www.nikkileehealth.com
https://www.facebook.com/nikkileehealth

*Get my FREE webinar series*

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