I am seeing clients at their homes in a private practice setting right now. I do fill out their paperwork with dates, names, brief hx before I go there and that doesn't take that long. For me, a home visit usually lasts about 1 1/2 hrs-sometimes closer to 2 if I watch them pump as well. These are usually involving pre/post feed weights as well. I'm fairly slow when I write my MD reports but I do make them a little more involved because I want to pass on the information since I don't otherwise have an opportunity to talk with the physician. 45 minutes would be a pretty short time but even my shortest appts are about 1hr 15min. Hope that helps. I think the shorter the appts get the more the mother may feel that the LC latched the baby and she didn't have an opportunity to try latching comfortably herself or didn't get to see what real swallowing looks like or what the baby looks like at the end of a successful feed. Amy Slotten, RN, IBCLC Ann Arbor, Michigan *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome