Kathleen said:  the
> changes that are slow, and the high resistance to evidence based
> practice prevalent in the practice of those who are often in "charge" of
> providing professional care for bf dyads.  The resistance has something
> to do, I believe, with caregivers' own breastfeeding beliefs and
> experiences.

Ha!  That is so right.  Silly me for thinking that
Manager's/Administrator's/Dr's would leave personal preferences out of their
decision-making.
Some can and do but most don't.  I think a study that examines the
relationship between health care providers'/facilities'  "up-to-dateness"
(sorry for that choice of words-having a mental block today) with
breastfeeding practices and the parenting beliefs/choices made in the past
by the HCP/ Director of the Department would be very telling. Anyone who
works around this on a daily basis would know that HCP's whose personal
preference/practice was formula feeding would demonstrate at least some
nonsupportive-of-breastfeeding practices (I think what motivates some of
those Director's to bring breastfeeding education to their staff or to
recommend breastfeeding to their patients and yet not go all the way with
enforcing breastfeeding supportive behavior among staff or still allowing
formula advertising to go on is that being able to say to the public "we've
trained our staff/I'm educated enough to encourage you to breastfeed"  makes
them look good.  But most people aren't on top of the issue enough to know
they're not that good).
.Having a research study that says "98% (just a number I'm throwing out
there, but that I believe isn't too far off) of OB nursing directors whose
department is not Baby-Friendly formula-fed their children".    Or how about
"99% of nurses who supplement breastfed baby's with formula in the hospital
formula-fed their own children".  It would increase awareness for all
(health care provider's themselves, their staff, breastfeeding mother's)
that social/personal practices might be influencing health care practice
instead of evidence.  If it was "brought out of the closet" no one could
hide behind it anymore (whether it's being done consciously or
subconsciously).
Sally Myer

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