Dear Cheryl,

I think you have quite a dilemma at your hospital!  The other two LCs 
are teaching in a way that is diametrically opposed to all the LCs who 
just posted responses. 
Sometimes it's no consolation to know you're right when you then have to 
change people's minds.

I have a private practice and work part time at a hospital.  My 
colleagues and I describe latch in nearly identical terms and work with 
mothers in similar ways and I've often felt grateful that we are so 
close in our approach.  And just to add my voice to the chorus: we don't 
pull chins down or tell mothers to do so.  Years ago I was taught by 
Sandy Jamrog, Body Mind Centering teacher, that pulling on a baby's chin 
would cause an equal and opposite counter reaction of jaw tightening.  I 
have never in my private practice pulled a chin down.

I have supported plenty of chins, and Jeannette described eloquently the 
DanCer hold.  This technique deserves a revival; but it is easy to 
confuse with chin pulling.

LCs have all kinds of different latch on/positioning techniques and part 
of how we decide (in addition to evidence based practice) is by 
consensus.  No one has supported chin pulling here, so the consensus 
among a large group of LCs is that it is not a good technique.

Hope you're able to make changes happen without bruising too many egos.


Kate Sharp
LC in NYC
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