Well I don’t remember hearing that 50% of babies don’t latch in first 24 hrs! Fascinating and possibly true in many settings. Is this a study that can be replicated a few more times? Then I think if this message were widely disseminated to doctors, nurses, mothers, etc – then all would relax about LATCHING. 
However, FEEDING is another matter, and I am a huge fan of skin to skin with hand expressing about every 2 hrs. I have seen a couple babies where the mom and the doctor and nurses were patient, and the babies did just that (STS, spoon) for 24 and 36 hrs, respectively, then latched and went forward feeding fine. No untoward weight loss or jaundice.
I think mothers may benefit from staying in hospital longer under these non-latching circumstances. And having limitations of visitors, perhaps. There are some moms whose breasts do not give colostrum for a time, sometimes days, and then I wish we had donor milk, as we would only need a very little bit. I am proud to say that at Touro Infirmary in New Orleans, the first intervention is virtually always “skin to skin.” I can’t take credit, but it’s a cultural change that IBCLC’S and others who came before me effected! Yay!

Laurie Wheeler RN MN IBCLC
New Orleans LA and MIssissippi Gulf Coast, USA 

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