At 07:51 21-8-2002 -0500, you wrote:
>We use the LATCH system and it does not seem to give a very accurate measure
>of how well breastfeeding is going.  Pat indicated there are better
>evaluation tools out there.  Can I get some examples?

Hi Janet!

I know of the assessment tools below.

- BREASTfeed Observation (developed by WHO/UNICEF)
- LATCH Method  (Jenson D, Wallace S, Kelsay P, 1994. LATCH: A
breastfeeding charting system and documentation tool. JOGNN, 23(1):29)
- MBA Method (Mulford C, 1992. The mother-baby assessment (MBA): An "Apgar
score" for breastfeeding. J Hum Lact, 8: 79-82)
- IBFAT Method (Matthews MK, 1988. Developing an instrument to assess
infant breastfeeding behavior in the early neonatal period.  Midwifery.
4(4):154-165. also in Biancuzzo M, 1994. Breastfeeding the Healthy Newborn:
A Nursing Perspective.)
- SAIB (Published by Shrago L, Bocar D 1990. The infant's contribution to
breastfeeding. J Obstetr Gynecol Neonatal Nurs, 19(3): 209-215.)

Hope this helps. There's also lots of info on them in the Lactnet archives.

Renate Rietveld, IBCLC


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Renate Rietveld, IBCLC
E-mail  : [log in to unmask] Homepage: www.lactatiekundige.com
BreastEd On-line Lactation Studies Senior Tutor ( www.health-e-learning.com )
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