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Re: Lactation Consultant and Breastfeeding PromotionFrom: Deborah Wage (wagedj@ctrvax.Vanderbilt.Edu)Wed Jul 30 18:13:00 1997
Cindy wrote: > > Nursery nurses cant be > trained to be LC's by LC's as Daniel stated "I don't know! Get your > lactation consultant to make one great tour of the > country and educate the nursery nurses. Then we won't need a lactation > consultant." If I may so bold to speak for Daniel, his statement did not say to train nurses to be lactation consultants. He asked for the nurse's to be *educated* by LC's. Many breastfeeding problems in the hospital can be directly traced to poor nursing care: no educaton, no support and misinformation. These same nurses never see the need to increase their knowledge, because the lactaton consultant does "all that breastfeeding stuff". That's why I don't use them anymore except for true problems requiring their expertise (see previous post). Otherwise, it is the responsiblity of the postpartum nurse taking care of my patient to provide BF'g education and support. If that nurse is not able or willing to do that, then he/she is not qualified to be doing postpartum care. Lactation Consultants must have thousands of doucment > practice hours before they can even sit for the exam, it is an emerging > profession that all breastfeeding mom and babies can certianly benefit > from. Im sure you all are aware of all of the benefits of breastfeeding, > now we need to make Breastfeeding the cultural norm and not botttle > feeding. Its our job to promote and educate our clients about > breastfeeding. We need to make sure that all health care professionals are adequately trained to do this. It is a very sad statement that we must have lactation experts now because we haven't done our job. I precept FP residents in their antepartum training and I can assure you that the training is woefully inadequate. If we did a better job all around, I'm sorry, but we would not need LC's. It's a bit like having defecation consultants. I'd rather put my money on peer support (we have successful moms, some teens, tell other moms "YOU CAN DO IT", that's our peer support 'program'. Had an LC for a while an a March of Dimes grant, but she was afraid of the neighborhood and washed her hands alot) The number one reason for unsuccessful breastfeeding is lack of support when it gets rough. They need peer support, not a slide rule and instructions to 'do it correctly'. I've told patients millions of factoids re: BF'g and they listen, but when I say "Ya know what? I nursed all my kids!" then I've got their attention. Yup, female providers that have breastfed have a distinct edge in this area.
IMHO, this begins in the OB's office on the first
> prenatal appointment, your patients think everything their doc says is
Not so. Cultural norms and whether their partner is supportive FAR
outweighs what the midwife (or OB) says. If the FOB say "no way", than
I assure you , it will be NO WAY.
> Thanks. And don't be offended. I hope our real lfe stories will help shape your practice.
>
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