Regarding Phyllis Kombol's request for written procedures or protocols or how we got cup and finger feeding accepted in Montreal: It all started with a conference by Dr. Jack Newman, and many others following in different areas of Montreal and suburbs. Then, many hospitals started to request in-servicing by LC's. Workshops detailing the basics of breastfeeding and how to finger or cup feed an infant, were given in most major hospitals in the area. The hospitals receiving the workshops, all started to use these alternate methods. I just recently reviewed a document made by the Regie Regionale de la Sante et des Services Sociaux (Quebec Government). This document will be distributed in the area it was made for which is the Eastern Townships, but it will also be available to any Health Professionals. It is a protocol for Health Professionals and it is research based. But it is in French! i am not aware of any recently published English protocols but I will ask around and let you know if I fing anything. Dany Gauthier IBCLC [log in to unmask] Tel: 514-923-3792 Fax:514-923-3802