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 OB-Gyn/Primary Care/Ambulatory Leadership.
I am well versed on the benefits of breast-feeding (wrote an extensive paper on it for an EBP class) and when the time comes for me to choose, I will be choosing formula. And I also have no medical condition preventing me from doing so.

Okay....not sure what your point is with mentioning this. The point of the thread is the importance of providing this type of informed consent to our parents/patients. Most of them haven't written research papers on breastfeeding, thus do not have your background knowledge. That's what we're there for.

I'm sorry I didn't realize this was a support board for formula. I thought this was a professional discussion board. My bad...oh poor poor formula feeders we will support you to and I'm sorry that trying to boost breastfeeding and being honest about formula hurts your little heart.

Perfect example.

Sent from my iPhone using allnurses.com

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
Perfect example. Sent from my iPhone using allnurses.com

Of what? Me pointing out this thread js speaking with professionals and not parents? Speaking with parents is very different then professionals.

a perfect example of your rudeness.

Of what? Me pointing out this thread js speaking with professionals and not parents? Speaking with parents is very different then professionals.
Of what? Me pointing out this thread js speaking with professionals and not parents? Speaking with parents is very different then professionals.

You actually think that post was professional? Wow!

A lot of us come to this board for advice and this thread interested me because my boss asked if I could start floating to the mom and baby floor. I normally work ICU/ER/Cardiac/Surgical floors. I really enjoy it and it is a baby friendly department and thank goodness none of the nurses force their opinions down my throat when I'm working there. I ask a lot of questions because this area is new to me. They encourage breast feeding but if the mom chooses not to breast feed never are they made to feel like they are harming their baby.

Glad I'm being floated to a positive baby friendly environment.

Sent from my iPhone using allnurses.com

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
You actually think that post was professional? Wow!

A lot of us come to this board for advice and this thread interested me because my boss asked if I could start floating to the mom and baby floor. I normally work ICU/ER/Cardiac/Surgical floors. I really enjoy it and it is a baby friendly department and thank goodness none of the nurses force their opinions down my throat when I'm working there. I ask a lot of questions because this area is new to me. They encourage breast feeding but if the mom chooses not to breast feed never are they made to feel like they are harming their baby.

Glad I'm being floated to a positive baby friendly environment.

Sent from my iPhone using allnurses.com

Maybe not that exact post but when people keep crying "oh hurt feelings" when we are discussing policy...it gets a little tiring.

Specializes in OB.

I think this thread is starting to (or maybe already has) run its course. Multiple opinions have been presented, and I think a lot of us will have to just agree to disagree. Here are my final thoughts.

The Baby Friendly Initiative is a fabulous thing and the U.S. should push all of its hospitals to move toward it. It is simply a set of steps that outline how hospital unit policies and procedures should adapt to give mothers and babies the best start possible towards breastfeeding. It does not require every mother to breastfeed. It absolutely does NOT involve bullying or scare tactics. As other posters have stated MULTIPLE times, if that is what a hospital is doing in the name of Baby Friendly, those nurses/LCs are incorrect. There are situations in which mothers either choose not to or cannot breastfeed, and all patients should have individualized plans of care to help meet their needs. But telling a mother that formula and breastmilk are the same, as a previous poster stated she had been told by a pediatrician, is simply untrue.

It saddens me that some posters seem SO defensive of formula feeding and equate any education about breastfeeding and the risks of formula to be "bullying." There ARE risks to formula. That is a fact. Any parent who gives their baby formula, for WHATEVER reason, deserves to know these risks. Just as any mother who decides to get an epidural or consents to a c-section, even if they are desperately needed at that time, deserves a thorough explanation of the risks and benefits of these procedures. That doesn't mean that patient is being bullied or shamed. It is called informed consent, and is good practice. If anyone HAS witnessed real bullying behavior towards a woman for her choices, like Esme12's coworker, I'm sorry that happened. But it's not fair to blame it on the Baby Friendly Initiative.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

Threads will stray off course, sometimes but I think this one is overall one of the least contentious on this topic that I've seen. As long as people stick to the TOS it can run as long as people feel they have something to say.

For me, I feel like hospitals and places like WIC are over the top and way too pushy about breast feeding. I tried breast feeding my first child and hated it. I didn't feel like it was a bonding experience, I felt like a cow. For my second child I was not even going to try it. The hospital acted as if I was bad mother and still tried to push me to breast feed. This did nothing but make me angry. We are all about patient satisfaction and doing whatever the patient wants but let's force breast feeding whenever we can. I understand that this opinion may upset people but I am just not a fan of breast feeding and would appreciate not to be bombarded with it once I make my preference known. If it works for you great, just respect my decision.

I have to agree on this one. We are just starting this baby friendly movement and I am not convinced. A big part of our population wants to have the option of having a few hours of uninterrupted sleep. We have a hospital that is close to ours that does not have a nursery and we have people come to our hospital just because they have the option to send the baby to the nursery. Are we REALLY making a HUGE difference if we make the mom keep the baby in the room or send it back to the nursery in her 2 to 3 day stay?

Formula vs. Breastfeeding..... the question of the year!! What about the mom's that are on medication that is not compatible with breastfeeding? Or the women that are having issues with Postpartum Mood Disorders? Are we going to make them feel MORE guilty because they can't or don't want to breastfeed. Yes breastfeeding is best, but it might not be best for everyone!! I do not know where all of a sudden we as healthcare providers educate the mom's and dad's and then allow them to make the right decision.

Some mom's breastfeed because they are made to feel guilty and then they resent their child!! I will support what the mom wants. IF she wants to breastfeed I will support that, but if she wants to formula feed, I will support that as well!!

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
I have to agree on this one. We are just starting this baby friendly movement and I am not convinced. A big part of our population wants to have the option of having a few hours of uninterrupted sleep. We have a hospital that is close to ours that does not have a nursery and we have people come to our hospital just because they have the option to send the baby to the nursery. Are we REALLY making a HUGE difference if we make the mom keep the baby in the room or send it back to the nursery in her 2 to 3 day stay?

Formula vs. Breastfeeding..... the question of the year!! What about the mom's that are on medication that is not compatible with breastfeeding? Or the women that are having issues with Postpartum Mood Disorders? Are we going to make them feel MORE guilty because they can't or don't want to breastfeed. Yes breastfeeding is best, but it might not be best for everyone!! I do not know where all of a sudden we as healthcare providers educate the mom's and dad's and then allow them to make the right decision.

Some mom's breastfeed because they are made to feel guilty and then they resent their child!! I will support what the mom wants. IF she wants to breastfeed I will support that, but if she wants to formula feed, I will support that as well!!

Baby friendly isn't about breast versus formula. It is about informed consent...so we know mom is making an educated decision. Informed consent works for everything else...works here too.

Why can't people understand what BFI is and isn't?

Also an FYI...very few meds are not compatible with breastfeeding.

then, when mom says no, get over it. and maybe your interpretation of "baby friendly" is not what some hospitals are instituting...

Baby friendly isn't about breast versus formula. It is about informed consent...so we know mom is making an educated decision. Informed consent works for everything else...works here too.

Why can't people understand what BFI is and isn't?

Also an FYI...very few meds are not compatible with breastfeeding.

+ Add a Comment