Actually, at my hospital facility, every one of our babies has an appointment scheduled with their outpatient pediatrician prior to discharge. Their d/c record and any other pertinant information is faxed to the pediatrician. The mother also has a paper in hand with the same information. That is the responsibility of our pediatric hospitalists (24 hour in-house peds). If there are additional risk factors which require other follow-up (like lactation problems, DCF, teen mmoms,substance abuse, any other problem), those mother/baby dyads also have a referral to the VNA (which often is me if it goes to my agency). If you check out the AAP guidelines, I think you will find that more follow-up is happening much sooner than used to be. I can only speak for this general central Connecticut area, but through my ou-patient VNA work, I often get referrals for well mother/baby dyads, as well as for those with difficulties. It appears that the majority of public and private insurances pay for well baby homecare follow-up. I visit babies from all of the area hospitals (big and little). Betsy Riedel RNC, IBCLC *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html