ann marie i have no experience with this situation, but i have an idea of what could be tried. i would imagine the mother would have a fairly easy time of positioning. it would be the attachement that she would not be sure of and also evaluating whether or not the baby is feeding effectively. as all mothers worry about 'is the baby getting enough?' so have the father work with the mom on every feeding for first few days. and have the LC with them for many early feedings and both give feedback to her on what the baby is doing. have the mother tune in and describe what her sensations and evaluations are. for example, the LC can say the baby has a deep latch and is doing 'fluttery' sucks now. now the baby is taking long slow sucks. the baby is slowing down and relaxing his fists. you get the idea. the mother may be able to tell what babe is doing on her own. at some point see if the mother can say what is happening and you confirm it. i would think this mom needs very close guidance til her milk comes in and thru the early full phase. i find many mothers have trouble latching during 'engorgement' even when they had been doing well before. after that the baby should be pretty good on his own and the mother should be able to feel pre and post feed breast changes. does this sound useful and workable? best wishes to all. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ MSN Photos is the easiest way to share and print your photos: http://photos.msn.com/support/worldwide.aspx *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html