We have recently begun use, in our hospital, of a latch assessment tool based on the Via Christi model originally created by Jan Riordan. Scores (of 0-2) are given to five different factors in one breastfeeding session -- including mom's evaluation. The highest possible is 10; the lowest is zero. Our chart is to be filled in by the nurses (or the IBCLCs; we are there every other day). However, we share with mom what we are doing, and why we have assigned a particular score. Initially, mom is to be assessed once every eight-hour shift, until she receives two consecutive scores of 7 or above. Then, she may be assessed once every twelve hours. Our reasons for using the chart: (1) to move away from non-informative blurbs in the chart (what exactly does "BF well" mean? or "BF poorly?"); (2) Identify moms who would need close post-discharge follow-up; and (3) empower moms with knowledge to assess latch on their own. Haven't we all seen that first-time mom who thinks her baby is nursing well ... when babe is not actually suckling at all? I would be happy to share this document (it is in Word format) with anyone who cares to e-mail me with a request. Liz Brooks, JD, IBCLC Wyndmoor, PA, USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html