> Bettina Pearson wrote:
> Janet,
> I'm a bit behind on reading posts (HOW DO YOU ALL KEEP UP?),
> but my favorite 'detail' video is Chloe Fisher's, "Helping A Mother to
> Breastfeed: No Finer Investment".   I cue it to 2 sections demonstrating a
> nutritive and non-nutritive latch.  It breaks the nutritive latch into slow
> motion segments.  I love the whole video too, about 20 min. long.

This indeed does have these nice slowmotion parts and I use this video a lot
myself for training hcp's, but not only for these parts, also to point out how
*not* to help a mom to take the baby at the breast. What I find a minor point in
this video is the fact that the midwife is latching the baby instead of the
mother. (BTW the second time the mother does it herself and then the baby' latch
on is better!) I always get the feeling that the helper handling the breasts and
the baby is like teaching someone to ride a bycicle by turning the pedals for
her.
IMO it is very important to have *the mother* latch the baby on and the helper
(LC, nurse, whoever) can -if needed- move her arms, hands, arrange pillows,
footstools, etc. Rule of thumb: mom holds and moves breasts and baby; hcp moves
mom and equipment.
In teaching hcp's to help moms and babies latch on I often use roleplaying and
make sure all have been *the mom* at least once! They have to feel for
themselves what specific kinds of help do or don't do. I mostly use the
'triplets' rollplay": 1=mom, 2=hcp, 3=supervisor/observant. They'll take turns
of 10 minutes each, so it only takes half an hour to have them practice all 3
roles once.

Gonneke van Veldhuizen, IBCLC, Maaseik, Belgium
http://www.users.skynet.be/eurolac
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