This is slightly off topic, however I get irate at how little parents are told and involved in decisions regarding their infant's care. So what I would suggest about pain relief related to circs or any other painful procedure, would be to offer the parents *informed consent.* (This is not a flame against the poster). The parents should be involved in a discussion about the procedure (the circ, the bili level being done, the immunization being given, etc) and about options for pain relief. Included could be the options that are often used and the evidence for their use. The breastfeeding mother could choose to have the sucrose pacifier used just that one time, or the mother could choose to be present or quite nearby to breastfeed the baby right away for comfort. Here is a tangential rant: Often there is a new baby that has been started on antibiotics due to his mother's Group B strep status or premature rupture of membranes. Often I will go out to see the mom to talk about breastfeeding getting started (as, unfortunately, it usually doesn't get started in the delivery area) and about needing a pump in the near future, as the baby will remain in the hospital for several days after her discharge to finish the antibiotics (no, they don't *allow* rooming-in with the baby - aaarrrggghhh). The nurse will tell me "I don't think the mom knows about the IV yet, or the antibiotics yet." Doesn't this make you want to scream! How dare anyone do this without talking to the parents about what is going on? What about treatment options, etc? Mind you, this is not an emergency. I know this is not directly breastfeeding-related, but is it any wonder that parents just don't feel like active participants and no wonder they just abdicate the feeding of thier babies to the almighty staff? Is it any wonder why people like us who want mother-friendly and baby-friendly facilities burn out???? Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ The new MSN 8: smart spam protection and 2 months FREE* http://join.msn.com/?page=features/junkmail *********************************************** 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