What makes the pediatrician think breastfeeding is working if it’s causing pain? The baby is growing? That’s a myopic viewpoint that the ped. needs to change. We don’t need research to know the breastfeeding parent should NOT be hurting. So unless I misunderstood your question, the answer is breastfeeding isn’t working if one of the people involved is having a difficulty. In that situation, thanks goodness there is a good milk supply, but there still is a problem of pain. 
I hope this makes sense as I’m on vacation but had to respond.

Janet Dombro, IBCLC 


> On Nov 8, 2018, at 12:20 AM, Carmela Baeza <[log in to unmask]> wrote:
> 
> Thank you everyone for your thoughtful comments.
> 
> The situation you describe in your hospitals is similar here in Spain, a
> lot of rushing staff "putting out fires", a lot of different and
> contradicting messages from each staff turn, a lot of "you are doing it
> wrong, this is the right way." And I find often mothers themselves have
> read breastfeeding manuals during pregnancy and they are the ones extremely
> worried about flanged lips and getting it right just like in the picture.
> 
> I guess we have to work on the message of mother and baby become acquainted
> with each other and with breastfeeding those first days, respecting their
> rythm, while making sure mother reports any pain and baby has good
> output... a balancing act :)
> 
> However, the point of my first post was that a pediatrician said to me: if
> some babies have an awful looking latch, but breastfeeding is working,
> where is the evidence that incorrect latch is the cause of pain, and pain
> resolves when latch is corrected? So those are the studies I´m looking for,
> because I thought it was a very interesting and valid point she brought up.
> 
> :)
> 
> 
> 
> 
> 
> -- 
> Dra. Carmela Baeza
> Médico de Familia
> Consultora Certificada en Lactancia Materna IBCLC
> www.centroraices.com
> http://www.facebook.com/Consulta.Lactancia.Raices
> <http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>
> 
> Autora de "Amar con los Brazos Abiertos"
> http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html
> 
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