Karen-grace:  Your personal tenet also happens to be mine.  There is a 
wonderful research article (it's been discussed before, check the archives) 
done by a group of midwives in which they describe H.O.T. - Hands-off 
Technique, which you have so aptly described in your post.  After all, the 
mother cannot take me, her nurses, or the doctors home with her.  It is hers 
and the baby's responsibility to learn how to nurse.  And, like Diane, I always 
endeavor to send mom home feeling confident in her ability to nurse/parent her 
baby.  The other technique which truly works, is skin-to-skin.  I cannot talk 
about it enough!  More and more of our staff are encouraging moms to do S2S 
and consequently we are seeing fewer position/latch problems.  After all, the 
baby self-attaches with S2S - even the mother herself takes a secondary role 
during baby-led latching, with the LC taking no role what so ever in the 
feeding.  Unless it is to provide verbal praise and encouragement.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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