Hi Patti,
I bet it is alot cooler in Wyoming than here in Louisiana! (90 degrees F).
Re the policies or protocols for sluggish or non nursing babies: there
should be lots in the archives under supplementing or decision trees. Dr.
Jack Newman (he was just here at our LLCA conference!) has a decision tree I
bet in his book and on several websites I think.
In general, the very best approach is to KEEP MOMS AND BABIES TOGETHER
ALWAYS w/ continuous skin to skin  and often the first feeding will occur in
the quiet alert period after the birth. The mother can and I think should
begin hand expressing and can drip this colostrum to the baby. or finger
feed it or syring feed it, very gently, just to encourage the baby to wake
and feed. Of course there are a myriad of reasons that the baby willnot feed
which need to be considered and could include labor drugs, illness, sepsis,
and the baby just does not need to want to nurse yet.


Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA


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