Haven't heard the term "smooshing" before but presume you mean forcing the baby's head onto the breast.  To avoid this, and a few other problems (wrong advice) we were having, our hospital prepared a compulsory breast feeding package for all midwives to complete.  
First we designed a handbook of research-based breastfeeding practices with questions to answer for everyone to complete (marked by any one of the Lactation Consultants on staff), then they had to view a video, which we made, on showing a mother how to attach her baby to the breast using a hands off technique, then all staff had to complete a practical assessment with one of the Lactation Consultants (using a newborn baby doll).  

This has made a dramatic difference to the breastfeeding success in our hospital.  It is wonderful to go into the room with a mothers confident in supporting her breast and her baby and achieving a great latch early in the piece.  All staff (and new staff starting) realise that we are serious about helping mothers and babies breastfeed and know questions will be asked if unusual? practices emerge.  Of course we still get the occasional problem (usually occurring after a very busy spell unfortunately) but all staff are aware of discussing any problem with a lactation consultant, where possible, or the senior midwife on duty so that an appropriate plan of care can be initiated with consultation with the mother.

I would highly recommend other hospital IBCLCs try to get a similar program initiated into their hospital.
We are very lucky that our Unit Manager (while not an IBCLC) is very educated and motivated about breastfeeding.  We are also lucky that we have a postnatal clinic in our unit (staffed by a Lactation Consultant) where mothers bring their babies for weekly visits for 5 weeks. Breastfeeding situations that may occur in these early weeks can be sorted out usually quite quickly and easily at these clinic appointments before they may have otherwise become major problems and led to early weaning.  The vast majority of our mothers are breastfeeding very confidently and successfully by 6 weeks.
Denise Hartley RN, RM, I.B.C.L.C., Child Health Nurse, Australia

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