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Date: | Sat, 6 Sep 1997 08:54:17 -0400 |
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Dear Lori, I personally love an assessment by Jan DeCoopman. It's for the
mom! Much more useful in the first days and week, since the HCP only
"sees" the baby nurse for 24-48 hours!
Sorry, I think LATCH is cumbersome for the HCP and not all that useful,
does provide a place to put that all important & "holy" documentation on
the chart tho!!!
The other tool referred to at ILCA is by Linda Kutner. page 10 in the
syllabus under Track 3: Linda Kutner, The baby who refuses to BF. I would
think it is a reasonable and chartable tool to use, perhaps with a check
off form. Linda said a baby boy must demonstrate 3 GBF (good breast feeds)
before circ! (That policy would have really helped a 3 wk old and his mom
that I saw last week.)
Here's Jan's---
B - Baby awake
R - baby Rooting
E - baby takes in Enough of areola
A - Active swallowing
S - Swallowing heard
T - Time - actively nursing for 10-40 minutes
S - Satisfaction - baby Settles down
Each letter gets one point
5-6-7 mom and baby doing OK
3-4 mom ask for help if not better at next feeding
0-2 mom ask for help NOW
Jan suggests that this be printed up on a 3 x 5 card and given to mom
prenatally and again at first feed, when she is getting help with first
latch-on, positioning. At discharge mom can be given card again. My idea
would be to put community resources, warm line #s, BF class info, etc. on
back.
Any list, tool needs to be user friendly or it won't be used period. Mom
or staff!
Sincerely, Pat in SNJ
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