N--
As a ppdoula, I am happy to say that I would not fit
into this category. In addition to being a certified ppdoula
(CAPPA), I am also a LLLI Breastfeeding Peer Support
Counselor, LLLeader, and BFconference junkie.
I do agree with what you are saying that there are doulas
out there who do undermine LCs advice--more often than
not: unknowingly (my experience); like recommending gripe
water, camomile, mint tea, ABM, etc, without consulting a
IBCLC (that is important because we have a lot of RNs who
are deemed to be the LCs by their hosp. admin even though
they have very little (if any) accurate information.).
Lucky us, the doula organization I belong to was able to
invite Cathy Genna(at my suggestion) to speak specifically about
exclusive
bfing and the ramifications of not exclusive bfing (along
with other topics)
Myself, and other knowledgeable PPdoulas are tying to change
our little corner of the world.
Blessings,
Kathy Koncelik, CPD(CAPPA)
LLLL
Long Island, NY
On May 7, 2008, at 7:48 AM, Nikki Lee wrote:
> Dear Friends:
>
> As a LC in private practice, I have had contact with doulas.
>
> In the US, doulas evolved to fill a void; laboring women need
> someone just
> for them to provide comfort and solace during labor. Nurses have
> become unable
> to do that, for the most part, once medicine went corporate in the
> US in the
> late 80s-early 90s. Doulas are passionate advocates for women's
> ability to
> birth and breastfeed.
>
> Once in a great while, a doula has been obstructive to lactation
> management.
> I've discovered via my follow-up telephone calls that the doula
> has changed
> or discarded a plan created by the LC and the mother to recover
> breastfeeding. I have yet had a doula call me to discuss the care
> plan, even when I have
> brought the doula into the discussion in the mother's home.
> Collaboration is
> an essential part of care, and I am happy to spend as much time
> and answer as
> many questions as the mother or the doula has. I count on the
> postpartum
> doula to help implement the breastfeeding care plan as she is
> there with the
> mother on a regular basis, sometimes for hours a day. It has been
> a shock to
> discover that my efforts have been treated disrespectfully. The
> poor mother is
> caught between two people that she has hired to help her.
>
> This situation has not happened very often; unfortunately several
> LCs that I
> know have encountered it.
>
> At present, I am setting up a 9-week breastfeeding basics course
> for doulas.
> I am excited to hear that a large number have signed up!
>
> warmly,
> Nikki Lee RN, BSN, MS, Mother of 2, IBCLC, CCE, CIMI
> craniosacral therapy practitioner, Elkins Park, Pennsylvania USA
> _www.myspace.com/adonicalee
>
>
> _ (http://www.myspace/adonicalee)
>
>
>
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