> Sharon Knorr, BSMT, ASCP, IBCLC
> Newark, NY (near Rochester on Lake Ontario) wrote:
> Theoretically, LDRPs should help get bf off to a good start - mom and baby
> can stay together, mom can learn to watch for
> subtle waking cues, lots of
> skin-to-skin, all that good stuff.
...
> In other words, if the whole birth and breastfeeding culture does not
> change, then LDRPs aren't going to accomplish much
> of anything.  The best
> way to do it, IMHO, is to do away completely with a central nursery and
let
> mom know that baby
> will be staying with her and she can look forward to having lots of time
> getting to know him and getting breastfeeding going
> with nurses/lcs
> available for help as needed
...
Some years ago I was discussing this topic with collegues and the only
policy we could think would eventually work  was to have newborns be at moms
for the whole hospital stay and been fed at breast or EBM only *for the
standard fee*. If baby is to be in a nursery (without stringent medical
indication) or if baby is to get ABM *the bill would substancially rise*. In
our culkture (The Netherlands and Belgium) it would certainly work, if one
could get the hospital administrators to introduce it :-\. Other possibility
is a discount for babies who room-in 24/24h and being fed at breast or EBM
100%. That would make it a bonus to breastfeed and room-in and would ad a
fysical disadvantage to ABM feeding and seperation.
Wishfull fhinking, I'm afraid ...
Greetings,
Gonneke van Veldhuizen, IBCLC, Maaseik, Belgium

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