Re: Lactation Consultant and Breastfeeding Promotion

From: Susan Mcniel (smcniel@u.washington.edu)
Thu Jul 31 13:13:17 1997


I breast fed four babies, including a set of twins, all of whom were solely BF for 5 five months without supplementation and who thrived. Now, they are all over 6 feet tall! Yes, it does come somewhat naturally, but I can't tell you the questions, concerns, and worries that go with the territory. I don't think we have to be scientific about the process, a little encouragement goes a long way. If problems arise, such as sore nipples, etc., then a good assessment of the BF process and education on ways to alleviate or relieve the sxs are in order....that is where a good LC comes in OR a well-educated HCP. Dr. Marianne Neifert is a ped (out of Colorado?) who has published alot on BF; another resource is the Riordan & Auerbach text on Breastfeeding and Human Lactation. Also, the La Leche League is a great one for moral support.

I do have a comment about formula co. literature. It is very easy to "order" and distribute free educational pamphlets to patients published by the formula cos. They are usually colorful and enticing but in all of them are advertising for formulas and many women will equate the fact that "my HCP gave me this so they must endorse this product". When a baby is screaming at 3am, and a new mom is exhausted but sincerely trying to BF, and the pamphlet she picks up has coupons and formula advertising in it, it is very, very easy to give up and give the baby formula. "After all, you can measure the amount of food the baby is getting". The baby is still as fussy but now she KNOWS her baby is eating. Kills successful BF couples. Leave the formula samples at the hospital, hire a good office nurse and send her to classes so she can help and understand BF women or utilize the lactation services at the local hospital......... Susan McNiel, MN, ARNP Women's Health and Adult Primary Care

On Wed, 30 Jul 1997 rbraun@indyunix.iupui.edu wrote:

> What makes breastfeeding so dificult. The system works quite well without
> consultants or none of us would be here today. Most New Mothers need to be
> told that and then encouraged. Most problems are created by trying to give
> too much information about problems that the new Mother doesn't know about
> or have until someone tells her about them.
> Save Lactation consultants who have had thousands of documented hours of
> education for patients who have problems. And change the requirements to
> thousands of hours of documented lactation.
> Sorry I must have got out of the wrong side of the bed today. I am not
> being either diplomatic or PC.
>
> --
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> R. Daniel Braun, MD FACOG "Money will buy you a fine dog
> Clinical Professor OB/GYN but only love will make it
> Indiana University School of Medicine wag its tail"
> Indianapolis, IN Richard "Kinky"
> OBGYN.net, International Rep.. U.S. Friedman
> Kinky Friedman for President
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>





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