digital The not stocking formula is part of a larger policy to attain baby friendly status.
If it is there, it is tempting for mw's to offer it and for mums to request it before persevering. One of the inevitable 'fallouts' of a midwife giving you a certain type of formula in the hospital or saying, 'go with this' is that we inherently trust mws to know about these things. so though they are not being paid by the marketing arm of a formula company, it is very common for mums to stick with a certain formula because that is what they got in hospital. So that 'choice' made by the mother is a form of promotion as midwives and nurses are heavily marketed to in trade journals.
I can see the tension with not having the mw's all trained up but remember that as a part of the larger bottle feeding culture we live in, it is a long hard road to change a lifetime of expectations from mums and mw's so they have to start somewhere and noses will be put out of joint now and then, whenever change occur.
I am sure there are more informative ways of putting this across but this is my laywoman's sort of understanding.
I learnt to bf lying down and sleeping. It is like learning any new skill, it takes a bit of getting used to and practice. there has to be some give and take mostly from you because babies don't get this concept. Also with an open mind to persevere and to think outside the box a bit - good practice for motherhood in general - and a big dollop of confidence that you can do this and no, you won't roll over and squash your baby.
sorry, off on a geeky tangent now.