Dear Robin, I always say I was a mom and LLLL first, then I got all those 
magic initials, RN, IBCLC.  I didn't mean to tear us up or be devisive. 
Just that RNs have a different agenda  than an IBCLC, whether or not she is 
also an RN or not.  When I started as hospital IBCLC in the dark ages (1986) 
the RNs used the "screw the baby on" approach to latch.  When I left 5 years 
later I had converts to the gentler way of tummy to tummy and help baby do 
it, not do it for them.  It was a learning curve.  Today - 20  years later, 
I think things have greatly  improved at so many hospitals due to the 
influence of hospital LCs and the explosion  of BF materials available to 
RNs.  I think using  skin to skin is one of the best things that has 
happened for mothers and babies and it is catching on.

Of course, the explosion of c/s's has done nothing to help BF and there are 
still times when hands on is the solution to the immediate problem.

I don't think the super short stays help much either.  It would be different 
if there was close follow up (like in Holland with home visitors).  But 
unfortunately here  in the US we turn them out to fend for themselves after 
36 hours or so.

Heard a comment at a LLL meeting last week.  Mom watches some birthing 
channel all the time and just can't figure out how she can give birth 
without an epidural.  We are so surrounded by formula and epidural promos 
it's a wonder anyone has a baby naturally today in the US!

So many things seem to impact BF and you all know it's one baby at a time, 
Sincerely, Pat in SNJ 

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