Hi all, We just had our JCACHO review and they did not discuss jaundice, thank goodness. If you can take yet one more comment. How ridiculous that anyone would consider jaundice a sentinel event. What about situations (which we see often) of several day inductions for low fluid, hypertension, suspected large baby, IUGR, convenience of the family, and various other reasons that babies NEED (TIC) to be delivered at near term as opposed to term? Does anyone else see these type of deliveries on the rise? Some of the reasons I hear are fairly casual, others of course ARE needed. I see more and more mothers being delivered early and I'm afraid that "spontaneous vaginal delivery at term without complications" may soon be a thing of the past. Of course these high risk deliveries, turn into high risk babies who have feeding difficulties and jaundice, bruised caputs from vaccuum delivieries or forceps, not to mention the increasing epidural rates, C/D rates and subsequent increase in random formula use. So many moms just do not make it through these experiences with breastfeeding intact. Breastfeeding related jaundice at its least can self correct with lactogenesis and at its worst CAN be avoided by putting in place a program of early intervention by trained personnel with good assessment and EARLY followup. This in not a JCACHO issue at all - unless they look are willing to look at birth practices, including inductions and near-term infants, whether LC's or staff have enough time to properly do their jobs and what followup programs each hospital has in place. Insurance companies and doctor offices that take a casual approach to near term infants or poor feeding at hospital discharge should be brought to task if they do not provide or permit early follow-up. Dare we dream.... a PEDS office visit to be done by an IBCLC. A new parent clinic that new mothers can come to for advice, a breastfeeding assessment and weight check. Home vists by well-trained nurses and doctors who take the time to refer and parents who take breastfeeding seriously enough to seek help when things aren't quite right, instead of throwing in the towel. Wow, sorry this sounds so negative. I guess this really struck a cord with me. Once. again we throw the baby out with the bath water, or rather breastfeeding out with the US hospital care! Must be hormonal today! LuAnn Smith York, PA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html