I am in a hospital situation with 6 other LCs. We see about half of all breastfeeding patients (those having trouble, dr's orders, pt's requests, etc.) We have 7000 births a year. We have an 80% breastfeeding initiation rate. We also have a daily class for all parents to attend if they wish. My problem is what we're teaching. We do basic positioning, latch, holds, frequency, duration, engorgement, sore nipples, diet, how to tell if baby gets enough,etc. Some of my colleagues are convinced that babies' chins have to be pulled down to obtain a wide gape and they are teaching it in class. They refer to the Breastfeeding Answer Book as their resource. I , also, sometimes see the need for basic chin support for certain cases and show that to parents on a one-to-one basis. But I push for the asymmetrical latch, with chin in, catching the lower lip as baby is rolled into the breast. And my problem is that I am seeing more and more breast aversion by babies whose mothers attended the class taught by one of my colleagues. These parents are yanking on the chin to the point where there is redness and sometimes bruising. I've mentioned this phenomenon to them and have been criticized. I know my colleagues are good people who really want to help the mothers , but this is beginning to affect my work and the feelings I have for work. So my question is, what is going on out there? Are we all pulling down chins? If so, is there a kinder, gentler approach to show parents? Also should this be taught in a class or on a one-to-one basis? Frustrated and voted down, Cheryl Muller RNC IBCLC *********************************************** 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