Pat... If the MD ordered no "gift" abm to her patients and the nurse presented the option to the patient, I'd have the new Mom report this to her pediatrician. This is what I call a staff-split.... a real undermining of the pediatrician's wonderful orders! As a recent post stated, the physicians carry more clout as customers to the hospital than the Mother will. Also, at our hospital, the patient evaluations are thoroughly reviewed and have been known to facilitate change (however slowly!) Susan Wirtjes RN IBCLC from Susan in Iowa (is this heaven?) "What you permit, you promote"