Hi Judy, I feel for you. It is extremely hard to influence physicians to change their usual practices and try something different in order to protect breastfeeding. In my experience, it is the pediatricians that are giving the orders or informal orders to d/c bf while on demerol. One approach would be to ask to present some information at a joint OB/peds meeting, if there is such a joint session. Present some options for acceptable analgesia. Some options might be morphine, PCA pumps, leaving the epidural catheter in w/ duramorph I think, or even to encourage moms to bf first then take the pain med right after. If most moms attend prenatal classes, you could mention this problem to them, so that they can discuss w/ their docs that they don't want demerol ordered. Maybe they can all say they are allergic to it, then they would have to be given something else! Good luck. Hope to see you in Sept at LLCA conf. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Don’t just search. Find. Check out the new MSN Search! http://search.msn.click-url.com/go/onm00200636ave/direct/01/ *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html