Hi Denise, The wave of the future is home health care, and that may be where we need to concentrate our efforts instead of in the hospital. I suspect that within a very short period of time, a 24 hour stay is going to be a long stay, and that moms will be in and out in 8 hours or less. (Ulp!) So, we will need to concentrate on outpatient services and home health agency services - many hospitals have their own home health, and if you can combine pp services for early d/c with your LC practice, it will be tremendously helpful. I don't think any nurse who is doing mother-baby home health is qualified to do so unless she is an IBCLC. So, we need to be pushing that! Off today's soapbox (can you tell Bob has a new job? He's reveling in being on the cutting edge of the home health movement....) Jan