"What policies/protocols do other hospitals have in
 place for babies who are not feeding 24 hours after birth.  Do you
 supplement via cup, fingerfeeding or bottle after 24 hours.  Is it decided
 on a case to case basis based on a medical assessment of the infant?"

From one hospital in my community, most of the moms I see go home finger-feeding their babies AIM. While I think the way to deal with sleepy babies is to avoid them through normal birth, I do understand your dilemna. What I want to urge against is a one-size-fits-all protocol like the one I describe. There is usually no follow-up and mothers have no idea how or when to stop supplements (not that most ever needed them in the first place).
Jennifer Tow, IBCLC, CT, USA

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