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Subject:
From:
Patricia Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
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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