I am in the midst of trying to change our archaic practice of glucose heel 
sticks for all newborns at 1 hour of life, which obviously disturbs skin to skin, 
bonding and breastfeeding and often leads to a cascade of intervention. I 
have collected evidenced on the topic and my presentation has led to a 
meeting with the chairman of the department of peds. 
My need from all of you wise and experienced women is this: how is this done 
elsewhere? What parameters are acceptable to ask for? I am looking for 
policies from other hospitals. Or if anyone knows what baby friendly hospitals 
do. Are routine heel sticks banished all together, are they for infants of certain 
wt, conditions of mom? What if baby doesn't latch in DR, or mom plans to 
bottle feed? 
I would think that only symptomatic or LGA would need to be checked if all 
other conditions are fine.
I appreciate any guidance you can give. 
Thanks so much,
Lisa Paladino SNM RNC (graduating in May!) breastfeeding advocate

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