People often ask “Why can’t I get my hospital to change its practices?” What they mean is, “Why can’t I get the people in the hospital to change?” (Sometimes, it does seem that it would almost be easier to get the brick-and-mortar hospital itself to change than to change the behavior of the people who work in it!)
Change comes slowly. Lots of barriers. Believe me, I know!
Any time I hear “Our hospital can’t go Baby-Friendly” because…” I ask why. Believe me, I’ve heard dozens of reasons. But all fall loosely into three themes: Be, Do, Have.
“Parents want to do both.”
Undeniably, this is true. Many parents want to “do both”—breastfeed and formula-feed—because it’s what they’ve seen friends and family members do. They think it’s normal. Although we can try to change their perception of it, we can’t erase what they’ve seen.
But re-framing what’s “normal” for infant feeding is why there’s a Baby-Friendly initiative! As more and more mothers exclusively breastfeed their babies, the cultural norm will shift.
“We don’t have clarity about the details.”
Having served as a president and as an assessor for Baby-Friendly USA, I feel strong ties to the Initiative and to the organization. The most recent Guidelines and Evaluation Criteria can be a source of clarity for hospital personnel.
If additional information is needed, hospital staff should ask for more transparent information, whether from Baby-Friendly USA or a knowledgeable and experienced consultant. Certainly, Baby-Friendly USA is committed to supporting hospitals in making this change, and others have been through the process before. (Including me.) There’s no reason to feel unclear.
“We’ll never be able to …”
This is a big one, and it includes any number of things: “We can’t get rid of pacifiers.” Or “We’ll never be able to tell parents they have to bring their own formula for the baby.” And the great grand-mommy of them all: “We’ll never be able to make our [blankety-blank, fill-in-the-blank] mothers breastfeed.”
Most—if not all—of the “We’ll never be able to …” objections stem from misconceptions about the Baby-Friendly program. For example, it doesn’t require the complete elimination of pacifiers. Nor does it say that parents must bring their own formula. (It does say that the hospital cannot accept free formula, but that’s different!)
I do agree that no one can “make” mothers do anything—but that’s not required, either!
Change to Baby-Friendly practices may be slow for many reasons, but what people think the Baby-Friendly Hospital Initiative requires—rather than what it actually requires—doesn’t need to be among them.
The “be” objections are almost always rooted in belief. Perception, not reality. These are just thoughts, and thoughts can be changed by one’s self, or by others.
What “be” obstacles have you noted in your hospital? What could help overcome them?