Mardrey I appreciate your concerns re trying to 'assign' a pt a particular complexity category. In my experience, doing this in nicu as an RN, the levels changed shift to shift. What I believe we are going to be doing with breastfeeding dyads is more of an 'after the fact' assigned level. Like Mrs. J needed basic bf review, she's a multipara who has bf 2 previous infants. I generally do not spend a whole lot of time w/ these moms but review and bring them up to date on medication issues, resources, support groups etc. This type of pt would be a level one. This is not to say that she could have a tongue-tied infant and that would certainly put her in a higher level or her infant could be preterm. Certainly one experienced multip may take more of my time than another exp. multip, but you get the picture. In general, a primip or a multip who has never bf an infant before would be a higher level than Mrs J. A mom w/ a premie, a mom w/ breast reduction surgery would be higher level. Today I had a mom who is planning to bf her second baby. She did not bf her first 11 yr ago. She had postpartum hemorrhage, DIC, and is in ICU. Her nurse pumped her breasts for only a few minutes one time today. She is very very weak and has recieved many many units of blood. This is a very high level of complexity, I would be thinking level 4 here - requires a lot of support, instruction, and followup. My low level pts get a routine f/u call or some I even have 'call me prn' (as needed) - I give them the option of a f/u call or they can call me. Most exp. multips will elect to call me if they need to. Hope this clarifies what I think we are going to develop. Thanks for any replies. [3rd post, goodnite.] Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html