Hi, Ladies, long time! 

Had a client a few weeks ago, (got a HIPPA OK to share with other HCPs) with 
a common latch problem. 

Mom was a little overwhelmed, and although it was her first baby, I could tell 
she had read a lot of information. Some pretty good, some rather outdated. 
(As usual.) 

Mom was sore, and there were some scabs. Mainly from the 
common "Lactation Nurse" standing at the door, with the clipboard 
yelling "Baby has a great suck" and then leaving routine we see all too much. 

One of the things I did was to teach her something other than *exclusive* use 
of the cross cradle hold (baby over 8 lbs, and had been since birth) and to 
teach her asymmetrical latch, chin on breast, nose away. 

To help Moms remember, I call this "Watching the Sunrise." because the baby 
looks as if she is looking up at a beautiful Sunrise (with mouth wide open) right 
before the latch. 

The Mom seemed upset, and said that "NO. They told me she can get enough 
air and that her nose should touch the breast." ("Lac Nurse" at hospital spent 
approx 10 min with this mother, in toto.) I explained that although a lot (some) 
of the info she received was good, newer wisdom was that the nose really 
needs to be away from the breast, in most situations, especially with her 
degere of soreness and the funky latch this baby had at the time. Again, I was 
told, "They told me the baby can breathe OK like this." (As she was gasping in 
pain, with the poor latch insisted on.) 

There were some other problems, which in a marathon 2.5 hour Consultation, 
we managed to cover. Several weeks later, Mom and Baby seem to be doing 
much better. No pain, good supply, great diapers,  baby growing like a weed. 
Did not get to see her nurse again, however. 

Yet, the "nose on breast is OK" thing was still bothering me. 

So, I did a Google search. Both text and images. Nearly ALL of the data I 
found (save LLL, Lacnet ect) said Nose to Breast was just fine, with the 
ubiquitous "The baby can still breathe." UG. I am not worried about the 
breathing, I know they can breathe. My concern was a proper latch.

I was surprised at the sites, many of which I trust, who were still giving out 
this outdated information. 

I know this has been covered, but I was wondering if as more and more 
hospitals ect obtain various breastfeeding books, pamphlets ect, we may 
actually see more of this. It reminds me of the persistence of the "2 days in 
the fridge, 2 weeks in the freezer" storage rule, which took forever to 
eradicate, and I still run into it from time to time.

Comments, or replies? 

Thank you for listening. Kind of a rant, but I feel better. :) 

Mary Jozwiak IBCLC, RLC
Private Practice 

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