Hi--thanks for starting an interesting discussion. Seems that there are a lot of us out there who are feeling the pull to use our hearts and minds and skills as nursing entrepreneurs! I was a Postpartum/Newborn Home Visiting Nurse for my county's Health Department for 7 1/2 years. As with most Health Dept. functions, my duties were carried out without a doc's direct input 99% of the time. Because I also did high risk prenatal home visits for fetal monitoring, BP checks, urine protein checks, etc., my visits were requested by a physician, and the results reported back to him/her. I am considering doing as one of the other writers has said, and marketing myself to OB/GYN offices via in-services and a brochure. I have collected tons of information citing the fact that outcomes for mother & baby are greatly improved when an RN makes a home visit within 48 hours of hospital d/c. I plan to design a form similar to the one I used @ the Health Dept., and I would return form to OB for mom, and to pediatrician for baby, if the visit were done specifically by MD request. Because I am also a Certified Breastfeeding Educator, I would also, with permission, put brochures in OB offices advertising my services as a "postpartum doula" to help with breastfeeding issues, assess how well mom and baby are doing, etc. So I would market myself to the public as well. And, as someone said, those clients financially able to do so, would be inclined to pay for reasonably-priced services. Any other postpartum/newborn HV RN's out there? Would love to hear from you!