In a message dated 97-10-03 00:22:15 EDT, you write:

>I have been asked to give a one hour inservice for the staff of our
>largest OB-GYN service this month.  I need some feed back from any one
>who has done this before.

Hi Darlene,
What I found was effective:
-Assessment of nipples and breasts, including pinch test (showing  various
nipples)
-Prenatal Prep (which is encouraging/mandatory prenatal BF classes ONLY)
-a handout of the local BF support groups which includes LC at hospital (if
there is one)
-importance of immediate BF after birth (which can include kangaroo care)
-prevention/management of sore nipples, engorgement, plugged ducts, mastitis
-thrush
-medications, especially contraceptives
-questions & answers
Those are the most commom things the OB deals with.  If we can get them to at
least get the mother & baby off to a good start, it would be nice.  I like to
give the OBs the list of prenatal BF classes available and emphasize that BF
classes are just as important as childbirth classes, but that mom NEEDS to
hear it from the OB.  I tell them what Lactation & Medication books are good
to have in their office.  If you can make a handout on the
prevention/management of the problems you lecture on, they then can take it
back to their office and share it with the others.  Good-luck.
"Humankind has not woven the web of life, we are but one thread within it.
Whatever we do do to the web; we do to ourselves.  All things are bound
together.  All things connect."  Chief Seattle
Pat Bull, RN, IBCLC
The Breastfeeding Connection/Medela