I have chuckled reading the posts today about 1st feeds and unnecessary

supplementation.  Kudos to you ladies!  I love what everyone has had to

say about leaving babies with their mothers skin2skin and all the evils

of hospital practices.  I am a hospital based LC and though we are doing

better now a days, we can still do better.  One thing on the horizon

(and I think it's a positive thing in the long run) is that JCAHO (the

Joint Commission on Accreditation of Health Organizations), or something

to that fact) the accrediting body for most hospitals has new 'core

measures' which just came out in January I believe.  These core measures

translate to a sort of 'report card' for hospitals. There are several

that apply to OB units and nurseries the most notable is EXCLUSIVE

breastfeeding rates.  At some point, we will have to actually track and

report exclusive breastfeeding. That means that if a healthy term

newborn receives anything but the breast or EBM, it will have to be

documented as to the reason why. So, in addition to I think Marsha's

idea of 'locking up the formula' in the Pyxis med station, this will

also make the staff think again about giving a supplement when they must

document WHY they are doing this.  Educating the staff and pediatricians

and the parents also goes a long way in helping with this too! Thanks

for the smiles you all have given me today!



Warmly,



Molly Scarborough McMillion RN, BSN, IBCLC, CCE



 Women's Health Education Coordinator | Greenbrier Valley Medical Center



202 Maplewood Avenue | Ronceverte, WV 24970 | Tel: 304-647-6017 | Fax:

304-647-6523 |



 



 







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