Dear Cindy and others, My name is Linda Rosetti. I am an RN, IBCLC, ACCE and just about any other initial you'd like. We've been using the Latch scoring system for about 6 months at our hospital. This is the system outlined in JOGNN last year. The system is a quick assessment of the essentials or a good latch. The numbers that you come up with are based on a score similar to APGARS. We've found it to be a great learning tool for the staff and Drs.!! Of course we've had some difficultys too. Recently the authors of that study noted an error on the assessment tool which cleared up some of our problems. On our nursing care plans we use the latch score as a criteria for discharge. We aim to have a latch score or at least 7 at discharge. If mothers are having difficultys it is quickly apparent in the latch score. We score each nursing pair at least once a shift. It's made our staff much more aware of the need for observing moms ! We really like it. We are talking about doing a small research project on the use of this tool so I would also like to hear how people are using it.