A possible solution to all those who in fear and trembling discharge infants to inexperienced moms at 24hrs of age. At the hosp in Miami where I worked as an LC, I wrote a Breastfeeding Care Map to assist the nursing staff in "covering all the ground" in a limited time frame. It was patterned after Marsha Walker's with some changes. Peds and OBs were invited to a committee meeting where the care maps for all the OB patients were revised and critiqued. Out of this committee came a proposal to include in the managed care package a home visit by an OB nurse between 3-5 days of age. The OB nurse was expected to assess mom and infant and refer to the LCs if there were problems. This again was part of the patient's managed care package therefore no additional charge for this service. It was the only way our Peds would allow 24hr D/C to a breastfeeding primip. The other option for the hospital was to eat the cost of another days stay.--Diane