1. Sherry Spacco RN, IBCLC Lactation Consultant Maternity Unit Norwood Hospital

2. Norwood, Mass. Community Hospital 500 births a year 19 of maternity beds 14 CLC’s on staff

3. Step 9 Give no pacifiers or artificial nipples to breastfeeding infants

4. Challenges RN’s MD’s Parents

5. How we did it EDUCATION

6. RN’s 18hr. Staff training from Baby-Friendly Explained step # 9 Showed the research

7. MD’s Presented at MD meetings Met with ob office staff and managers

8. Parents They receive the “No Pacifier” handout in ob offices

9. March 1,2011 We no longer give out pacifiers They are used for painful procedures only, heel sticks, IVs, circumcisions etc… RNs have to sign out pacifiers and the reason it was used.

10. Also in step 9 No artificial nipples to breastfeeding infants We cup feed all breastfeeding infants if a compliment (supplement) is needed. Pay for formula As of April 1,2011 we purchase our formula!!!!