As an LC in private practice, I have the mom complete a "history form". This includes a signed consent for permission to touch her breasts/baby and to report to her primary caregivers. Nobody has refused to sign or even questioned this. Sending a brief report to her primary caregiver is a really good PR exercise! If necessary, I will phone the caregiver concerned who can often throw more light on a particular situation. I think we would all like to work towards the favourable situation that Pamela describes. Jean Ridler, RN RM IBCLC Cape Town, South Africa mailto:[log in to unmask]