I can't tell you how often I go over and over the idea that no matter how 
good the latch looks "if it hurts, it's wrong." I think I am finally 
getting through to my colleagues. That has been a tough concept for most 
of them to wrap their heads around, but I am pleased with how they have 
adapted. I also make sure I tell every patient I see the same thing so 
that they will ask for help if they are uncomfortable.

The other concept that has taken me some time (and I am still working on 
it) is the idea of milk transfer. Again, I repeat "just because the baby 
appears to be nursing well does NOT mean he is transferring milk."That one 
took a while but it is coming as well. Teaching about when to use a test 
weight has helped there. The pediatricians took a while to get it as well.

I find that if I pick just a couple of key points for the staff and 
concentrate on those, it is far more productive than worrying about trying 
to get a lot of information passed at one time.

There will always be those who can't (or won't) get it and as frustrating 
as that is, we have to let them go. That's when educating the parent can 
really help.

Betsy Riedel RNC, IBCLC
Connecicut

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