I agree with Barbara Wilson Clay. We do not have a definition for good latch or criteria for evaluation that can be taught to health professionals. A few years ago I was asked to be one of five "experts" on a panel for a research project. We were part of the validity process to help establish the tool to determine a scoring for good positioning. The study was evaluating the effect of teaching "positioning" to prevent nipple soreness. One of the problems was that the five "experts" couldn't agree on the criteria for "good" positioning or good latch. It was a real eye opener to me. If we can't agree, what is good position/latch and how can we teach it? We need to establish as LC's a definition of "good positioning" and "good latch" with criteria that we can teach...rather than criticizing hcp who don't know how to determine correct latch.
Carol L'Esperance, RN, MSN, IBCLC

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