There is one Ped at our hospital that is 95% supportive of the LCs and repeatedly refers moms to us. The major remaining stumbling block is her insistence that babies should switch sides after 15 minutes. We did recently give her the "Evidence-Based Guidelines..." with the challenge to provide us with evidence for her approach. Time will tell... Anyway, in response to her and others including moms who seem locked into some sort of time limitation I have found the following approach very successful in getting moms to see the rationale for watching the baby, not the clock. It's a way of making the point without coming right out and telling the parents the Ped is wrong. "Yes, it's probably true that 10 to 20 minutes of ACTIVE SUCKLING will finish a side. The problem is that very few babies suckle that steadily. They tend to pause from time to time.(I equate that with an adult laying the fork down between bites). There are a couple ways you could determind when a baby is finished. First, you could sit there with a stopwatch clicking for sucking..not sucking..sucking..not sucking etc.until you reach a total of 10-20 minutes. Or you could just watch for the baby to tell you he or she is finished." I have yet to have a parent choose the "stopwatch" approach. They usually chuckle and say, "Of course I'd rather just watch the baby." Winnie IBCLC from Wisconsin where (dare I say it?) spring seems to have arrived for keeps *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html