I find both of these helpful :


http://www.infactcanada.ca/RisksofFormulaFeeding.pdf

http://www.infactcanada.ca/pdf/14-Risks-Small.pdf

On Sun, Mar 17, 2013 at 9:45 PM, Phyllis Adamson IBCLC <[log in to unmask]>wrote:

> Off the top of my head, the two best resources for your institution to use
> to write your parent instruction information are these:
> Dr. Melissa Bartick's The Burden of SubOptimal Breastfeeding in the US
> <
> http://pediatrics.aappublications.org/content/early/2010/04/05/peds.2009-1616
> >
>
> Evidence Report/Technology Assessment
> Number 153
> Breastfeeding and Maternal and Infant Health
> Outcomes in Developed Countries
> www.ahrq.gov
>
> As Dr. Alison Steube puts it: "Is it worth it?" and "Can I do it?"
> (did I spell her name right?)
> Those are most mothers' questions.
> Once your staff internalize and KNOW the information in these and other
> publications, they are better prepared to individualise their teaching for
> each mother to address her own versions of these two questions.
>
> Consider developing a Care Plan for each mother to show her answers to
> these questions.
> Most useful versions have both a check list and a narrative area, confined
> to one side of one page.
>
> Phyllis
>
>
> ---- "Amy Slotten wrote:
>
> =============
> We are in the daily struggle at our institution of providing information
> to moms who are giving formula to their baby for non-medical reasons while
> still in the hospital.  The lactation group added some info on the
> breastfeeding info sheets that we give to moms that lists the risks of even
> one bottle of formula.  This is a conversation that most of us would be
> having with breastfeeding moms anyway but this put it out there on paper
> where the staff also have to confront these facts.  We have had tremendous
> backlash from staff such that this part of our paperwork was taken out of
> the new mom packets after 1-2 days.
>
> We would like to ensure that all moms who are breastfeeding are provided
> with evidence-based information about risks of formula.  The goal really is
> to decrease the "mother's choice" supplementation that happens for no
> medical reason.  We generally feel that moms get the message from much of
> the staff that it's no big deal, has no effect, won't interfere with
> breastfeeding.  It seems the biggest problem has been that many of the
> nurses feel that it is not appropriate information given to a mom when a
> baby really does need medical supplementation and mom isn't able to express
> enough colostrum.
>
> What do other institutions do about this "informed consent" in these
> situations?  Having balance so moms understand that there are consequences
> to supplementation but not having moms who refuse to supplement their
> late-preterm or SGA baby who isn't latching and has a low blood sugar.  We
> really do have good policies that state all of these things but don't seem
> to have the full staff compliance with informing of risks when mom wants to
> give a bottle to get a little more rest or because baby is fussy, etc.
>
> Any help and suggestions would be great.
>
> Thanks
> Amy Slotten, RN, IBCLC
> Ann Arbor, MI
>
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> --
> Phyllis Adamson, BA, IBCLC, RLC
> Glendale, AZ.
> [log in to unmask]
>
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