baby friendly questions - page 2

by Rhee 21,105 Views | 109 Comments

The hospital that I work at is in the process of becoming baby friendly, and I have some questions about how the baby friendly initiative is implemented in other hospitals. I want to start by saying that I think that... Read More


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    I'm sorry if this is a dumb question- Is there a database of these "baby friendly" hospitals? I would love to know this before I have my next child, I don't think I would want to deliver in that environment.
    P B and J likes this.
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    the hospital I delivered in 5 years ago would not allow you to room in with your baby at night - if you were breastfeeding they'd bring you the baby every 2-3 hours to nurse and then take the baby back to the nursery for diaper changes etc...they apparently had one too many dropped babies due to maternal fatigue...

    as for shoving bf'ing down my throat - never would have happened - while I give kudos to any mother that wants to breastfeed - was not for me - and I would have brought in my own bottles and formula if I had to...
    mesrn118 likes this.
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    you can go to their website (google baby friendly initiative and they should have a list of the hospitals that have been certified. it isn't a long list right now. it is an expensive endeavor, and quite the journey.
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    My hospital is Baby Friendly, and I came to the unit near the very end of the journey towards getting certified, when everyone was going crazy. My manager was really gung-ho about educating moms about the benefits of rooming-in and trying to keep the nursery as empty as possible, but we DEFINITELY did not have crazy, guilt-inducing waivers and if someone wanted formula, after the 1st conversation about why, risks, etc., there were no more. It's not like we educated them every time they wanted a bottle. We just fill out feeding progress notes on every mom to document what we said and what their choices are. The only thing we did that your hospital did is stop giving out pacifiers, which I do support as it's evidence-based to promote supply.

    At the end of the day, we can only do so much education. Some people don't want to hear it! And that's ok. I am busy enough helping moms who want to breastfeed that I don't have any time left to sit and guilt someone who doesn't.
    RunBabyRN, Queen2u, ArmyWife4Babies, and 4 others like this.
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    Thank you very much babyktchr. I'll look into it.
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    I forgot to say in my last post how important and beneficial the skin-to-skin aspects of Baby Friendly certification are. Having that be the routine after birth has increased BF rates, decreased problems with BF, and I think outweighs any other "negative" or perceived "guilting" practices of the program. Our patients are so happy about it, as are the nurses!
    ischialspines likes this.
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    Quote from Esme12
    When did some nurses get the right to bully people into our beliefs. I find this "Baby Friendly" an agenda a bit extreme. If I listened to La Leche League I'd still be breast feeding my son at 14:.
    That's inaccurate and unfair.
    LibraSunCNM, pfongk, Queen2u, and 4 others like this.
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    Quote from mamabear85
    I'm sorry if this is a dumb question- Is there a database of these "baby friendly" hospitals? I would love to know this before I have my next child, I don't think I would want to deliver in that environment.
    Please be clear - the scenario in the OP is not an accurate representation of the "Baby Friendly Hospital" initiative. I am greatly in favor of the BFHI, but I find the stuff described in the OP to be highly distasteful.
    RunBabyRN, ktliz, rn/writer, and 1 other like this.
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    How times have changed! When I had my 1st child, 14 years ago, the nurses offered to take my son to the nursery the first night. They could tell I was clearly exhausted after almost 24 hours in labor. I gladly accepted the offer, and was told they would bring my son back when he was hungry to be breastfed. They had asked me my feeding preferences, and I told them BF, with only the rare supplemental formula. They took him at about midnight, and woke me at 8 am! My nurse brought him back in, and said he wanted fed about 4 am, but when she came in I was sleeping so soundly she couldn't bring herself to wake me, so he got formula instead. I have never been more grateful. The next night, he roomed in with me, but I had gotten some rest the night before and was good to go. I went home happy, well rested, and with a beautiful son!

    My last child, 7 years ago, they refused to take her long enough for me to even take a shower. The nurse told me that if I didn't want to leave her alone in my room I should take her in the bathroom with me, shut the door, and leave the shower curtain open so I could see her. Neither she nor I left my room the entire stay. I was exhausted, and preparing to go home to 3 other young children, and got almost no sleep. I'd have given anything for them to take her for 3 hours or so for a little worry-free nap! I brought a pacifier from home to comfort her if needed, never even used it, it was sitting on my end stand. One of my nurses threw it away, and read me the riot act for even having it. By the time I got home with her from the hospital, I was exhausted (we lived far away from family and friends willing to help out). I couldn't, and still can't, believe the differences in the hospital staff/policies in those 7 years!

    My opinion? Educate thoroughly, educate some more, explain who, what, why, etc., teach some more, and then allow the parents to make their own (educated) choices, guilt- and waiver- free.
    RunBabyRN, sharpeimom, rn/writer, and 1 other like this.
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    I worked postpartum for a few years, and i encouraged mom's to get their rest for those precious few nights. If they were breastfeeding I would bring baby out and help them latch, and then round in 30 minutes and take baby back to the nursery. While breastfeeding is great, it is a personal decision. I feel once a mom has been told the pros and cons, and have been offered supportive lactation consultation (our LC was a beast and women often asked to not have her come back and help them), then they can make a decision. I would be FURIOUS to have to sign that obnoxious waiver, and you can bet management would be hearing from me.
    mesrn118 likes this.


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