The authors won an Outstanding Poster award for their presentation of this tool at the 1992 Annual Meeting.
LATCH: A Breastfeeding Charting System and Documentation Tool
Article first published online: 28 JUL 2006
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 23, Issue 1, pages 27–32, January 1994
How to Cite
JENSEN, D., WALLACE, S. and KELSAY, P. (1994), LATCH: A Breastfeeding Charting System and Documentation Tool. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 23: 27–32. doi: 10.1111/j.1552-6909.1994.tb01847.x
- Issue published online: 28 JUL 2006
- Article first published online: 28 JUL 2006
- Accepted: March 1993
Nurses most often use a subjective “well/fair/poor” system to assess and document breastfeeding. LATCH is a breastfeeding charting system that provides a systematic method for gathering information about individual breastfeeding sessions. The system assigns a numerical score, 0, 1, or 2, to five key components of breastfeeding. Each letter of the acronym LATCH denotes an area of assessment. “L” is for how well the infant latches onto the breast. “A” is for the amount of audible swallowing noted. “T” is for the mother's nipple type. “C” is for the mother's level of comfort. “H” Is for the amount of help the mother needs to hold her infant to the breast. The system is visually represented in the same form as the Apgar scoring grid, and the numbers are handled in the same way. With the LA TCH system, the nurse can assess maternal and infant variables, define areas of needed intervention, and determine priorities in providing patient care and teaching.