I haven't seen the book you mentioned, Pat, but in the BFHI - as you know - Step 10 is about post-discharge mother-support, whereas skin-to-skin is under Step 4. Does the book you mentioned have a whole different numbering system, different to the global BFFHI? Melissa Clark Vickers and I co-edited a book on the 10th Step with chapter authors from round the world, with the aim of showing what can be done in different settings. (Disclaimer: Neither of us receives any financial benefit from the book, as we assigned the royalties to WABA.) Melissa's chapter on *why* breastfeeding mothers need support is a gem, leading into the *how* chapters.. [Thorley V, Vickers MC. The 10th Step and Beyond: Mother Support for Breastfeeding. Amarillo , TX: Hale, 2012.] I've been off Lactnet for a long time and just resumed today. Virginia Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA Private Practice IBCLC Medical Historian sage.fm/virginiathorley *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome