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Date:??? Sun, 19 Jul 2009 10:53:40 -0400
From:??? Cindy Curtis <[log in to unmask]>
Subject: Re: Consent for formula in the hospitals

Our hospital has a consent form that is signed by the mother and witness by the nurse it is titled "Authorization and Consent to Give Artificial Baby Milk and Artificial Nipples to a Breastfed Infant"
This consent is used if a breastfeeding mother asks to supplement or requests a pacifier.? The consent discusses why human milk is superior to articial baby milk and that the American Acadamey of Pediatrics recommends no supplements be given to a breastfeeding newborn unless a medical indication exists.? The consent also informs them of the risks of formula....even one single dose of formula can trigger allergies and increase risks of other illnesses.? If mom asks for a botttle the nurse has to explain why it is not recommended and get her to sign a consent.....more times than not the discussion about the risks of ABM are enough and mom decides not to give a bottle.? Making the nurse responsible for educating rather than simply handing over a bottle has helped to increase our exclusive breastfeeding rates.? I will be happy to share the consent form for anyone who wants to contact me off of the list at [log in to unmask]
Cathy Stephens-Croel RN IBCLC
Barstow Community Hosptial


-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Ana Estorino Uribasterra
Sent: Sunday, July 19, 2009 12:06 AM
To: [log in to unmask]
Subject: Consent for formula in the hospitals

I am a private practice LC in South Florida, USA. Recently, I attended a
physicians' breastfeeding task force meeting for one of the large hospital
systems in our area. As might be expected, the focus was on the many
roadblocks to breastfeeding encountered in the hospital. During the
discussion, an OB suggested that having parents sign a consent that noted
some of the risks of ABM feeding might serve as a way to 1) give uninformed
parents pause before giving formula and 2) track which nurse was responsible
for giving the parents the formula. This OB thought that having the nurse
witness this kind of consent would also give the nurse reason to pause
before offering ABM, as several pediatricians in attendance felt that
particular nurses seemed to offer ABM to moms more than others.

From this discussion came a question, which I am also posing here:

Is anyone else (meaning other hospitals) doing this? 

If anyone has any experience with this kind of consent form, please share it

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