Just a thought to add to your research planning: a couple of years ago, before we had Couplet Care, and when I was still allowed to search the system to collect feeding data and report statistics, I culled out from baby charts all the babies whose mothers indicated "Breast Only" and that choice remained consistent throughout the baby chart. Without Couplet Care, these babies were frequently in the nursery for whatever reason. These were also vaginal deliveries (excuse me: births) and Level I, full term healthy babies. The so-called "No-Brainers". The ones with no good reason NOT to be fed Breast Only throughout their 36-48 hours' stay.
There were 20 for that month out of approx 250-300 births.
Then I counted all recorded feeds.
Guess how many babies were actually fed "Breast Only"?
One!

Phyllis
 
Standard instructions by staff: 
Feed baby every 2-3 hours. Breastfeed 15 min each breast before giving a bottle. 
This instruction is intended to encourage breastfeeding.


--
Phyllis Adamson, IBCLC, RLC
Glendale, AZ.
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