Hi Celine, I know how you feel. I struggled with the same thing. We are suppposed to "fix" the problem right? It took a while, but I can honestly say, I spend more time in the pt's room teaching them until they can latch the baby on by themselves. I have gotten in trouble for spending to much time on the clock, but I cannot in good concsious leave a mom and baby when they need me. I have clocked out and come back many times to avoid getting in trouble with the manager. I use the Newman video on latch and it gives the moms good info and they are able to see another mom latch her baby on properly. You are feeling this way because of your background, and it WILL get better in time. I try to get moms to conquer one kind of latch so when they go home they have something that will work no matter what. I often find when bb's won't go to the breast and other staff are breathing down my neck and threatening to give the baby a bottle if the blood sugar doesn't come up, to have mom in a sidelying position. This works about 99% of the time. This position however requires me to help. At this point, I get the dads or significant other to hold the breast and latch the baby. Once moms belly goes down they can manuever the baby much closer and usually get them on. I only use this if i have to. So, Celine hang in there.. Knowing you are doing good work. Try your best... Some days everyone is having trouble and you will feel like you must fix it before you leave. Do you have someone following you the next day to finish what you have started? We use a pad and paper and write down who we saw and what interventions we used if any. It is also in the moms chart. The RN's are supposed to follow our plan of care. So if I need to use a sns to get a sleepy jaundice baby to the breast, the RN should be able to do the same. If a mom has had a c/s and can't bf at the moment then either I or another RN should start mom pumping.. delegate these tasks to the other staff. The other RN's certainly can show mom how to pump if you need to leave. At least that starts the ball rolling. Try inservicing your staff, so they know how to use a nipple shield properly and the sns properly. I have had to hide a few of my supplies, but most of the Nurses now tell the moms to wait for the LC before initiating a nipple shield. And they need to docucment the reason why. These moms will need follow up. You are doing good work. I started out the same as you. L&D, got babies to the breast right after delivery, then home health for phototherapy, that was a challenge getting those babies to breastfeed then now as a LC in the FBC. All in all about 17 years of moms and babies. But the role did shift as I tried a more hands off approach and more teaching... Good Luck, the hospital is lucky to have you... Don't you forget that! Robin *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]