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LATCH: a breastfeeding charting system and documentation tool

D Jensen1, S Wallace, P Kelsay

  • 1Maternal/Newborn Unit, Sacred Heart Hospital, Eugene, OR 97440.

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|January 1, 1994
PubMed
Summary
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The LATCH breastfeeding charting system offers a systematic, numerical approach to assess infant latch, swallowing, nipple type, maternal comfort, and assistance needed. This method aids nurses in identifying interventions and prioritizing patient care.

Area of Science:

  • Lactation support
  • Nursing assessment tools
  • Infant feeding practices

Background:

  • Current breastfeeding assessment relies on subjective "well/fair/poor" documentation.
  • A need exists for a systematic and objective method to evaluate breastfeeding sessions.

Purpose of the Study:

  • To introduce and describe the LATCH breastfeeding charting system.
  • To highlight its utility in systematic breastfeeding assessment and intervention planning.

Main Methods:

  • The LATCH system uses a numerical score (0, 1, or 2) for five key breastfeeding components.
  • Components assessed include Latch, Audible swallowing, Nipple type, Maternal comfort, and Help needed.
  • The scoring grid is analogous to the Apgar scoring system.

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Main Results:

  • The LATCH system provides objective data on maternal and infant breastfeeding variables.
  • It facilitates the identification of specific areas requiring nursing intervention.
  • It aids in prioritizing patient care and educational strategies.

Conclusions:

  • The LATCH system offers a standardized, quantitative method for breastfeeding assessment.
  • It empowers nurses to make informed decisions regarding patient care and education.
  • This systematic approach enhances the quality of breastfeeding support provided to mothers and infants.