American hospitals don't use
separate labor and delivery
rooms now — the model is the LDR (labor - delivery -
recovery) or sometimes LDRP (labor - delivery -
recovery - postpartum, a model that takes more space because you can't move from a big LDR to a small PP
room).
§ Model policy elements are 1) in - service training, 2) prenatal breastfeeding classes, 3) asking about mothers» feeding plans, 4) initiating breastfeeding within one hour of uncomplicated vaginal birth, 5) initiating breastfeeding after
recovery for uncomplicated Cesarean sections and / or showing mothers how to express milk and maintain lactation if
separated from infant, 6) giving only breast milk to breastfed infants, 7)
rooming - in 24 hr / day, 8) breastfeeding on demand, 9) no pacifier use by breastfed infants, 10) referral of mothers with breastfeeding problems and / or referral of mothers to appropriate breastfeeding resources at discharge.