Just a little good news: As you may know, the hospital where I am employed has a long way to go towards being bf friendly. But it seems I've made a little headway. Instead of calling the pediatrician to see if the mother could breastfeed on her last dose of IV cefoxitin, given for "C/S prophylaxis" (and holding the baby off til we got an answer), the nursery nurse said "it's the last dose, I won't even call." This as a result of education about bf and meds. FYI the nursery has to call the pediatrician for every drug the mother is on and often the mother is told she cannot bf. In another case, a pediatrician who has always kept the baby in hospital and started phototherapy for any bili level (physiologic juandice) over 10, has started to discharge them and have them return to office for next day bili check. And one more success: the nursing assistant (helper to the RNs) asked about feedings of a mother ready for discharge and, even though the mother was very confident about her bf, the assistant asked some probing questions. When the mother relayed that the baby was bf for one or two minutes and falling asleep, the assistant felt I needed to see her. As you might guess, we had some poor positioning and latch which we corrected and the baby bf well. We were able to show the open/pause/close suck i.e. milk transfer. Great teaching moment. And so great that the nursing assistant knows a baby on the breast is not necessarily breastfeeding. This is real progress, folks. And on that upbeat note, I will go nomail for awhile. Laurie Wheeler, IBCLC, MN, RN mailto:[log in to unmask] New Orleans Louisiana, s.e. USA _________________________________________________________________ Chat with friends online, try MSN Messenger: http://messenger.msn.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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