Remember the children's rhyme: For want of a nail , the shoe was lost: For want of the shoe , the horse was lost; For want of the horse , the rider was lost; For want of the rider , the battle was lost; For want of the battle , the kingdom was lost, This is one of my greatest frustrations. First, there is the issue that moms wait so long for help becuase "everyone told me the latch was fine". Then there is the issue that the mom doesn't know if she can believe me when I tell her that the problem is latch--because this may mean that other things she was told by the nurses, doctors or LC's was also wrong. There is also the complex reality that the mom is often 5 days or more into breastfeedsing when she sees me and now we have supply probelms, weight gain concerns, supplements to deal with and so on--when the whole problem originated in an inefficient latch. The mom is tired and may well feel that she is back at the beginning--this can be so upsetting to her, that it may contribute to her decision that "she has done enough and it is time to just enjoy her baby". The cascade of events is in motion and it is hard for the mom to see her way out. So long as there is no accountability, this will continue as it does in my community. Even in our "Baby Friendly Hospital"--moms are told by nurses and IBCLCs that the latch is fine--when it is absolutely not fine--one MUST watxh a baby latch on and come off the breast to assess latch--looking in half-way through can be utterly useless.. But, there is no accountability. Once you are Baby Friendly--then what? This is why I have no respect for the BFHI as it is currenlty implemented and I have no desire to see more hospitals achieve this status, when I know that it ultimately may mean nothing at all to women and babies. Anyway--the point is accountability. IMO, unless hospital staff are held accountable for this desctructive behavior, it will continue. And babies will be weaned, or those who aren't will have been subjected to the harmful risks of AIM--"all for the want of a nail". Jennifer Tow, IBCLC, CT, USA *********************************************** 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