Hi, Lisa. I've been fighting some of the same battles, myself. After we came back from ILCA we decided we would tackle 1) minimizing delivery procedures, 2) try to get the nurses to let baby latch on by himself when ready, and 3) get rid of pacifiers. In our case, the nurses were in such an uproar because we wanted to get rid of pacifiers that they didn't get that upset about delaying delivery procedures. (We didn't get rid of the pacifiers, but I'm seeing them less in the cribs.) Have you shared the "Delivery Self-Attachment" film with people? That and the Lancet study are awfully convincing that delivery procedures interfere with establishing breastfeeding. We've got a state law that says that the eyes have to be done by one hour of age, but hopefully everyone is waiting till the last minute of that hour to do it. I think the nurses do pretty well if they're not pressured by time, but when we're really busy the tendency is "get all the stuff done and get on to the next crisis." I've been showing the self-attachment film in all my prenatal BF classes since it first came out and *strongly* encouraging parents to not let the nurses keep the baby in the warmer to do procedures until baby has breastfed well. Good luck with changing ideas! Becky Krumwiede, RN, IBCLC, Wisconsin [log in to unmask] [log in to unmask]