Loni, I also work in a hospital situation. There seem to be some nurses who just aren't motivated to learn about breastfeeding and become more supportive. Continue to smile & be gentle in your approach with moms and nurses, even though you would love to tie some of them to a chair and make them drink ABM while listening to tapes of BF conferences!! You have definately come to the right place to sound off. I'm sure you will get lots of good support. How supportive is management? If supervisors are supportive of breastfeeding & enforce breastfeeding policies, things can change SLOWLY, but surely. Do your written policies need to be updated? Will management support mandatory classes for nurses to become updated? What percentage of your moms BF in hospital? (National average is over 50%.) Since such a large number of women BF, the nurses should know how to properly support them and at the very least NOT interfere with breastfeeding. Get a copy of the current AAP statement on BF ( available at www.aap.org/policy/pprgtoc.html) for management & staff. Form a committee of management, staff nurses & physicians to update policies & promote BF. That way it's not YOU against THEM. You will be backed up by a whole committee of BF supporters. Offer classes for nurses who would like to become more supportive of BF. You could offer certificates & designate them as "BF Support Nurses" or something similar. It doesn't necessarily have to be limited to the nurses. Sometimes nursing assistants & unit secretaries who have breastfed are also very supportive. With World Breastfeeding Week coming soon, do an in-house promotion of BF: decorations, food, slogans, breastfeeding information tidbits on brightly colored paper, balloons or pencils with slogans, etc. Give a written "thanks for supporting breastfeeding note" to anyone who did a good job with a BF dyad. I have posted some notes with graphics made on my computer on individual lockers & on the bulletin board in the nurses' lounge. One note recently commended several nurses & a pediatrician who worked with a dyad (& avoided giving bottles) until baby finally latched & breastfeed at 42 hours of age. That was a real landmark at our hospital! Good luck. I really do understand. Laura Hart, RN, BSN, IBCLC (breastfeeding preservationist) Staff nurse & lactation consultant (20 hours of each) Winter Park FL