Is this really so prevalent in the US and the west? As far as I know
this is not done in the hospital where I teach childbirth classes, but
now I'll confirm that.
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I have never seen a hospital in the USA where it is not done.  I don't have
access to the particular ACOG bulletin at the moment, but I believe it is
standard of care for all Ob-Gyns in the USA.  Is there an Ob-Gyn on LACTNET to
confirm?

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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