>I stand by my belief that a lot of early instruction for bfg. is not geared toward where mothers are physiologically or psychologically. I think just brief sound bites of praise and encouragement from everybody from the doctor down to the janitor would be useful, and each nurse should know asymmetric latch and just help gently. It would be wonderful if there could be some community based support so that when moms suddenly come to (on the day they get engorged and are hitting peak nipple sensitivity) they could get some skilled help in their homes or a near-by clinic.< I totally agree Barbara about the length and content of intervention sounding like too much. I just worry that this study is going to do serious damage to our messages. I guess what we need are other studies of a positioning and attachment intervention -- only one I know of is Righarde and Alade (also full of questions for me). On your last point -- sadly here in the UK we *have* a system of home visiting by community midwives until day 10 (ish) and community baby clinics with universal allocation to a health visitor -- but this does not mean mums aget skilled help. Indeed, it means that we are always saying 'we need to improve HV eduation on bf' without stopping to think whether HVs, with their history in public health and surveillance and hands off (they are nurses but don't touch anything) are really the people to go to......it sounds as if you could teach them hands off bf support, but I am coming to the conclusion that they really cannot take bf on board in their professional repertoire. There is an interesting study from Sweden on health visitors there -- and remember official stats of ebf over 90% at 2 months -- saying health visitors are poorly equipped to support bf........ Magda Sachs Breastfeeding Supporter, BfN, UK *********************************************** 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