Baby Friendly- getting a tad over the top

Specialties Ob/Gyn

Published

My hospital is working toward becoming baby friendly. This entails that we promote rooming-in and breastfeeding, which I have no problem at all with- what I do have a problem with is how we are being presented with it- and how we must now interact with our patients. Our patients come from a very diverse spectrum of cultures who are set in their ways and I guess I don't really feel it's my place to be like "well welcome to America- this is how we do it, too bad so sad."

We have been ordered to move all formula, nipples and pacifiers to the back room of the nursery (which has also undergone a name change to make it less accessible and friendly sounding) so that NOBODY sees it, patients or family. We don't want them to think we promote formula or artificial nipples. We are instructed now to council every mother who has chosen to formula feed, or do breast/bottle combo on the "dangers of feeding formula to your baby". Yes, these very words were uttered and in writing. There's serious talk of making the mother sign an informed consent before giving the baby any formula- acknowledging that she is aware that she is causing harm to her baby by giving him/her formula, and that they understand that breast milk is superior to formula.

We must extensively chart WHY mom is choosing formula. We have to now keep all the shades in the nursery down so that people don't look in, and THINK it's a nursery and again to make it an in-accessible place.

This really seems out of hand to me. I love where I work, I love the field but boy, we are in for some troubles when a mom from another culture other than white-upper class wants to put their baby in the nursery so they can sleep, or can go for a walk, or wants to formula feed and then gets a 20 minute lecture implying that they're a bad mom for choosing this method. Is this true of any other hospitals out there that are baby friendly or are in the process? I feel like they're trying to brainwash us, or like it's becoming a cult-like atmosphere!

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
then, when mom says no, get over it. and maybe your interpretation of "baby friendly" is not what some hospitals are instituting...

And according to BFI...informed consent and move on. Nowhere does it say informed consent and harass. People can't blame BFI for poor hospital policies or behaviors.

At the same time....having a baby does not make one ill in most cases. One might argue that learning to care for your baby is important and nightly use of the nursery...not ideal. Moms go home shocked at what a real night is like. People expect a nursery...yet for what reason? Because that's how it was fine before? Well...move on and get over it and learn to care for you new life changing responsibility.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.

Let's not throw the baby out with the bath water. Just because some hospitals are implementing it poorly does not mean BFI is a flawed idea that should be abandoned.

And then there's this; hot off the presses. I'm always one to be fair and try to evaluate all the evidence. Let's add this to the mix. . .

Breast-feeding benefits appear to be overstated, according to study of siblings -- ScienceDaily

So....one response about this and that's it? It was poorly designed...but also the first look at sibling groups as an attempt to control for the many, many confounding factors that plague other studies on breastfeeding? Does anyone have a more in depth critique? Is it inconvenient information or does it open up possibilities for future study combining the best designs from multiple studies?

And because it seems a requirement of the thread, my daughter was born with a soft palate cleft and I pumped exclusively for her for 9 months and currently pump and supplement so she'll have had 12 months of breast milk by the time we switch to cows milk. And I had my daughter in a freestanding birth center, so I hopefully have proper crunchy credentials to be taken seriously :-P

As a mother of 3, and I never breastfed, I never had anyone try to push breast feeding on me. And if they did, I would let them know from the giddy - up. I don't want to breast feed and if you don't want me to use YOUR formula, let me know, I can easily have my husband buy me some. That is so wrong to be OVER THE TOP and pushing this on patients. I don't like that at all. Sorry you are experiencing that.

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
As a mother of 3, and I never breastfed, I never had anyone try to push breast feeding on me. And if they did, I would let them know from the giddy - up. I don't want to breast feed and if you don't want me to use YOUR formula, let me know, I can easily have my husband buy me some. That is so wrong to be OVER THE TOP and pushing this on patients. I don't like that at all. Sorry you are experiencing that.

So at some point in your nursing education you will learn about informed consent...then you might understand what is being talked about. This isn't about your right to make a choice...it is about ensuring informed consent.

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