Gwen said that she rarely sees a midwife /child and family health nurse / neonatal intensive care nurse teaching a woman the transition (twin) hold as the first method of feeding. I am now wondering if I misunderstood this thread. First of all, I usually tell moms to rotate positions.......after many years of in-patient lactation I found that I would see a mom that would have red lines going across the nipple; I could always tell what hold she had used when I looked at the way the lines were positioned on the nipple. I would always tell mom to change positions for two reasons; to get stimulation to all the ducts around the areola and @ the same time decreasing discomfort and irritation to the same areas. The other thing is that I now wonder if what you are calling a transitional/twin hold is what I would call a football. What do you think? Royce What you permit, you promote Royce Anderson RN, IBCLC, RLC, CD (DONA) The Focal Point 7608 Brookside Drive Oklahoma City, OK 73132-5641 [log in to unmask] *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome