It has been interesting to see what different hospitals are doing with
postpartum care.
We have 1600 deliveries a year in the community hospital where I work.  Five
years ago we moved into a new unit with LDRP rooms. There was no Newborn
Nursery. All nurses were cross-trained in mother and infant care. At the time
I was working the night shift. We quickly discovered that some mothers (mostly
bottle feeders) did not want their babies in the room at night. We ended up
with a nurse's station full of babies! The situation was considered unsafe and
Administration decided that we must give the customer what they want...hence
the Newborn Nursery was built. Unfortunately now that it is built and staffed
all infants are admitted there after the first hour of life. After 3-4 hours
of "stabilization" they are turned back over to the mother- baby nurse and are
expected to room in. Infants may go in the nursery at night if Mom requests
and many do allow ABM feeding so they can sleep. Some respond to the "kind"
nurse offering them a night's rest because they do not know any better and
some make an informed decision to let the baby have ABM despite my  having
spent a great deal of time working with baby to latch (sigh).
       By the way, for those who never let their infant go to nursery and
wondered why they were charged for nursery care...the infant was still
assigned to a nurse who was responsible to assess his condition, chart his
intake and output and provide education on his care after discharge.