I posted an introduction and a question about protocols last week. Unfortunately, three of my Lactnet digests were deleted before I could read them (I'm semi computer literate--it was probably my fault), so I don't know if there were any responses. I apologize for repeating myself, but I am hoping to get some feedback, so here's my question again. [I'll spare you the introduction. :-) ] I'd like to know if any other hospital-based LC's have developed inpatient protocols for neonates who don't feed well (or at all) in the first day of life. We seem to have a large number of babies who don't nurse for hours and hours after delivery, and to this point, we've just been working with them on an individual basis, but our staff, which includes many new, relatively inexperienced (with BF) nurses, doesn't feel comfortable with this when we aren't there to help them. Do you do sequential blood sugars? Urine specific gravities? Follow a timetable? Base on weights and/or gestational ages? I haven't been able to find anything in the literature which provides guidelines, and I'd really appreciate any suggestions or experience from the rest of you. Thanks! Judy Dunlap, RNC, BA, IBCLC