I have an excellent article that comes out of Australia, the study being
done by a group of midwives, in which they looked at a technique they've
been using called HOT (hands-off technique).  Instead of the the staff
doing the feeding for the mom, mothers were instructed in basic
positioning/latch using props (dolls and cloth breasts).  It was found
that significantly more women were successfully breastfeeding at 6 months
as compared to mothers who were managed in the usual way - lots
of "interference" from the LC/nursing staff.  I found this quite
interesting as a "hands-off" approach has been my style of practice for 25
years.  And one I get quite a lot of "flak" from - from LCs and nursing
staff.
I do have a question that maybe someone can answer.  In all the years I
have been teaching prenatal classes, I (and perinatal education co-
ordinators that I work with) cannot figure out how to raise class
registrations beyond 25-30%.  In every setting I have worked in, it seems
that no more that 25-30% of the hospital's women take classes of any
sort.  Any suggestions would be welcomed.

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

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