I have run across a few moms who state the baby is doing ok at breast (when I observe that he isn't) and who do not want to be assisted w/ feeds or shown a better latch. I don't know how to put this without sounding like I know it all and the mother doesn't. I'll give an example: A mother had premie twins and she pumped for them for 6-8 wks. Never did bf them. She has a new term baby now and the baby is just sleeping at breast. Her nipples are red. She believes he is doing fine and does not want to be helped to get a good latch and she does not want to try another position besides the cradle hold. While it is true this dyad may figure things out just fine, it kinda worries me to send such a dyad home. I guess I feel responsible for sending them home w/o having effective bf established. I managed to 'convince' (gently I hope) the mother to let me help them get a deep latch and finally was able to show her nutritive sucking vs just sleeping there. I pointed out her red nipples and wanting to prevent further problems and engorgement. But I felt like she really didn't want this help and would rather have been left alone. How do you all handle such situations? Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Click here for a FREE online computer virus scan from McAfee. http://clinic.mcafee.com/clinic/ibuy/campaign.asp?cid=3963 *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html