Ruthy, We had an unexplained neonatal death about a year ago - baby was tucked in for the night with mom. Mom rang call bell to say she couldn't wake baby up :( Needless to say this shook up my hospital badly. Our wet-behind-the-ears ped wanted us to make a policy against cosleeping in the hosp (he routinely includes this in his dc teaching arghhh). I wore him down to me discussing with the staff who could (almost everybody) and who shouldn't. Moms who shouldn't include: groggy, immediate postop, those taking sleeping pills (I can't seem to convince md's that this is stupid), and extremely overweight moms (our beds are standard hosp beds - narrower than a twin bed). I have been casually encouraging cosleeping since I got there along with a couple of other nurses. We all thought it an insult to need a policy on a common sense issue. BUT common sense isn't always a job requirement so now I make sure to discuss the issue with new staff members to make sure they are on the same wavelength. Put pillow against side rail to plug up holes, have mom scoot over so baby has room, take baby blankets OFF baby, show them how to nurse sidelying, put bulb syringe, call bell and light in easy reach. Also show mom how to burp baby using her hip. My philosophy on this is that we should be teaching safety because they will do it at home whether we want them to or not. The ped thought this was brilliant hahahaha. p.s. The baby didn't die from cosleeping - he had ammonia levels of 2500. No one knows why. Debbie Codding, RN, BSN Oak Harbor, WA