>>These authors have good evidence that the following significantly undermine bfg:   Young maternal age (< 20), long intervals between feeds, early use of bottles, previous bfg failure, any kind of latch difficulties, and vacuum assisted deliveries and hypertension.<<

I haven't noticed mention in this discussion of simply leaving baby uninterrupted, skin-to-skin with mom following birth, until that first latch and feeding are completed.  Unnecessary (routine) intervention in these critical moments likely undermines most breastfeeding pairs.  Even if it is inadvertent, it could be easily rectified...

Maybe a 'First do no harm' could be a good opener...

Leslie Ashton, RN, B.Sc

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