Nikki, you are so right about this.  Also with labor and delivery  
being as medically managed as they are currently, in many cases skin- 
to-skin is not going to get the baby fed as well as it should and in  
as timely a manner (but of course it's the best way to get things  
started in the right direction).  I'm sure we all see mother-baby  
dyads who take a week or two to get nursing even started, despite  
doing plenty of skin-to-skin and offering the breast.  The baby may  
be near-term, unable to coordinate himself enough to attach and  
transfer milk effectively, and the mother's breasts might be too  
edematous to have a normal course of milk production and ejection.   
Overcoming all of those things takes time, and I can appreciate why  
nurses might not feel they have the time, and not trust that skin-to- 
skin is going to immediately result in a feeding they can document as  
successful.  Sometimes I feel that there are so many obstacles in the  
way in our current perinatal system, it is amazing that breastfeeding  
works right off the bat for anyone!


----
Lynnette Hafken, MA, IBCLC
Board Certified Lactation Consultant
Nurslings Lactation Services
http://www.nurslings.com
240-888-2123


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