becoming a baby friendly hospital - page 2

Today our UPC group discussed starting the process in becoming a baby friendly hospital. We deliver over 4000 babies a yr. We have a great Lactation Department with IBLCE certified RN's. Can anyone give us some advise in getting... Read More

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    It can be quite difficult to express colostrum by pump. Sometimes even after the milk becomes more plentiful, it can be difficult to express (or drain the breast well, at least) by pump alone.

    Especially if a mom is breastfeeding or pumping for her premature infant, she should be taught hand expression and hands on pumping. Are you familiar with the research by Morton et al? This video touches on the preliminary results: Maximizing Production - Newborn Nursery at LPCH - Stanford University School of Medicine

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    I guess I'm a little confused. What about the moms who don't want to breastfeed? Would they not be allowed to have their babies at your hospital?
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    Quote from carrie_c
    I guess I'm a little confused. What about the moms who don't want to breastfeed? Would they not be allowed to have their babies at your hospital?
    of course they can have their babies at our hospital. We provide them with formula to get them through their stay.
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    I think it's great and wish all hospitals would go "baby friendly". My advice...stop the formula bags, get rid of the formula coupons in the breastfeeding bags, allow baby to be with mom as much as possible (if mom wants, of course)...assessments, vitals, etc can be done in the moms room, stop doing circs (NOT very baby friendly)....you'd probably have to get the doctors on board with that though and unfortunately not likely since it's $$$$. I agree with advice here regarding education!! I personally believe that all maternity staff should be lactation consultants. There's such misinformation out there...all a nurse needs to say is 1 thing and it can damage the breastfeeding relationship. Good luck...I think it's a great thing you're doing!
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    I think the BFHI is, on the whole, a good thing. There is such a thing as bad implementation, though, and that is what drives people away sometimes.
    Not_A_Hat_Person, klone, and melmarie23 like this.
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    I think breastfeeding is a good thing, but I don't think it should be forced on mothers. Some just don't want to breast feed, and that's ok too. A lot of LCs try to push it on mothers.
    Queen2u likes this.
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    Quote from kms6417
    Thanks for your info. I am a bit perplexted on how a Late Preterm infant falls into all of this. We have a very detailed admission order set for these infants and supplementation with formula is part of it. What do you do with a 35 wker who does not effectively nurse, mom is pumping and getting nothing?
    Donor milk. I dontated over 8000 oz just to 2 milk banks with my last two babies and did 2 M2M donations, we are out there. I would not allow my baby to receive formula. (my now 17yo had to be readmitted for severe jaundice and the admittin DO ordered formula only. It did not turn out well for him. This momma bear KNOWS whats best for her babies! His argument was that "you need to flush that gunk out of him by making him poop". Um, dumbazz? What goes through a baby faster than breastmilk?
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    Quote from melmarie23
    of course they can have their babies at our hospital. We provide them with formula to get them through their stay.
    Or, have those parents provide the formula for their infants. MANY hospitals do this
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    Are there really hsp that have parents bring in their own formula? What parts of the country? Haven;t heard about this,, What about mom's who are on WIC?
    Not_A_Hat_Person likes this.
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    Curious if your hospital has a NICU. We are moving that direction as well and our NICU is looking at making some changes that the nurses have serious misgivings about. We feel like the Baby Friendly designation is aimed at WELL babies -- and besides pumping, early initiation of breast milk fdgs, and kangaroo care .. there are few elements of it that are appropriate to the NICU environment. No posts on this in a while in the NICU group -- just wanted some feedback from those commenting. thanks!


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