Hello Andrea and All;
As part of our preparation for Baby Friendly certification, we developed an
informed consent for infant feeding (actually we adapted ours from Cottage
Grove hospital's).  And we recently added to the exclusive bfdg option a
line that reads "I also request that no pacifiers be used."  The risks and
benefits info on this form is about bfdg VS ABM, not about pacifiers, but if
you'd like a copy, send me yr snail-mail address.           Martha Johnson
RN IBCLC in gorgeous Eugene, OR

> ----------
> From:         Andrea Eastman[SMTP:[log in to unmask]]
> Sent:         Thursday, October 29, 1998 5:55 AM
> Subject:      Informed consent for pacifier use
>
> Hello!
>
> At the meeting with my local hospital to finalize the mandatory in-service
> that I will be
> teaching for their OB & Maternity nurses, the issue of pacifiers came up
> in our discussion, and
> their abuse by some of the nurses.  I mentioned to the Nurse-Manager of
> Maternity that maybe
> she should consider having parents sign an informed consent form before
> the pacifier is
> distributed, which would list all the the risks of pacifier use to the
> breastfed infant.
>
> As this would also protect the hospital from liability, she was very
> interested in this idea
> and asked me to send her whatever I have on the subject.
>
> I have one on nipple shields that I will send her.  Not being one to like
> re-inventing the
> wheel, I was hoping that some of you out there might use just such an
> informed consent for
> pacifiers in your own institutions.  If so, would you please contact me,
> so that I can get a
> copy from you?
>
> Thank you so much in advance!
>
> Andrea
> IBCLC, private practice
> Granville OH is 35 miles east of Columbus, which is considered Central
> Ohio
>
> --
> Andrea Eastman, MA, CCE, IBCLC
> Granville, Ohio
> mailto:[log in to unmask]
>
> Gentle Birth Alternatives
> http://www.geocities.com/HotSprings/8978
> http://www.breastfeeding.com/andrea_eastman.html
>