I agree, positioning is everything.  I don't know how many times I've listened to report as I come on shift only to hear that the mother has sore,or red, or blistered, or cracked and bleeding nipples etc.etc.etc and in the next breath hear that the baby nursed well on that nurse's shift, sometimes though for 1 or 2 hours non-stop. Of course, baby was still unsettled after the feed, so the nurse supplemented the baby after each feed, sometimes 30-50cc by cup (of course no assess. of the babe's suck).  Yes, I too feel like screaming.  Then when I go in the room and actually see the mother feeding....aahhhh!  There's the baby in some strange position, with only the nipple in his/her mouth, classic "prissy lip"  look, nibbling away while mom cringes.  Of course, the previous nurse has told mom baby's doing fine, and now I am the evil one as I point out, as nice as possible, the baby should be held in such a way that....or, the baby needs to take more of the breast...see how the baby is nibbling rather than....I'm sure you all get my drift. I often feel like walking out into the hall and banging my head against the walls.  And here's the best I've heard.  "Well, we may be baby friendly, but we've forgotten how to be mother friendly!"  That's my rant for the night.  I'm sure I'm not the only nurse who hears/sees this happening.  And we have a breastfeeding protocol.
Bonnie RN, IBCLC, in Wpg. Can

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