"do I need to view at least one bf before d/c for each of our mom's or do I depend on the nurses taking care of these moms to report any problems. I do see each bf mom but it is difficult to be there when they are nursing" JoAnne--my colleagues and I used to really try to see each inpatient baby at the breast, but with the current volume of phone calls and outpatient consults, it's become impossible. We rely on the nurse's report and what mom tells us when we do rounds. Especially on the day of discharge, if baby has been nursing reasonably frequently, and mom answers all my questions "right" I don't always see the baby at the breast. I usually ask if baby is latching on well, how her nipples are feeling, if she feels strong tugging when the baby nurses and whether she hears the baby swallowing. Usually if the nipples aren't getting damaged with "strong" tugging (rules out babies who are pretending to nurse by sucking their own tongues, for example) and mom identifies swallowing, the baby is nursing relatively well. If mom's nipples are damaged, baby has lost a significant amount of weight, mom is having trouble latching on without help, etc., I'll make sure I see what's going on before she leaves. Becky Krumwiede, RN, IBCLC Appleton, Wisconsin *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html