To All
        Just before going on holidays I'll say one more thing on nipple
confusion. I want to add to all who have stated that all devices should be
temporary and followed closely to see progress and skin to skin always be
added to the plan of care what ever method is used but what can I do in my
hospital when nipple preferance or lack of nipple contact is really the
initial problem. Even though all the nurses know that all baby's must room
in I still hear about way too many babies who have been separated because of
low temps, throwing up mucous and moms who have had c-section or are too
sick and are not even asked, being brought back to the nursery to be
observed. Who's babies are they anyway, the parent's or the nurses'? There
is definatedly a control issue here but what can be done? The protocols are
there.

Attie