Ann:  This situation probably falls under cultural practices, in which I would 
most likely leave it alone.  We occasionally see lesbian couples.  One partner 
asked not only if it was OK for her to do skin-to-skin, but was it also OK for 
her to put the baby to her breast.  Sure!  We did discuss making sure the 
mother was feeding the baby enough times per day to ensure good weight 
gain.  I know she nursed the baby some in the hospital and for a little bit once 
home.  The mom nursed for a year and it was a bit of a struggle for her 
because she almost continously had very sensitive sore nipples, the cause of 
which we were never able to figure out!  Mom concluded she must have super 
sensitive skin.  This couple is very open about their relationship and have 
consequently taught me much on how to sensitively support and care for the 
same-sex family unit.  In fact, I just this morning received a beautiful family 
photo (mom's sister is a professional photographer) in a Christmas card from 
them.

Pam Hirsch, BSN,RN, IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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