Hi to all of you,
To all of the comments that have been written by my estimated colleagues,
during those last days, and when there was the release of the protocol, I
would add:
Evidences are lacking, and what is really lacking is the medical, AND the
clinical aspect, of inflammation thru "hyperlactation", how
"hyperlactation" entails some inflammation, how do you want us to explain
if we don't have the mechanics; it is just a thing a mom reacted about....
there are other evidences which are lacking.
Also what is hyperlactation?
because a lot of moms say "oh I have too much milk" and in fact, the baby
has oral or facial issues which entails the baby won't drain the breast
correctly which gives full breasts... (until it goes down) or the baby
struggles because of tongue-tie and mom thinks she suffers hyper
ejection.... or a baby with pacifier will ask less for breast so he/she
will empty less often..... and she will have full boobs (before it goes
down).
Other point, I am with Pamela... fed up with paying for any information
that should be released for free. OK we have the ABM protocols for free,
but then one needs to pay for the other articles, notably the Journal of
Breastfeeding Medicine; of course one could say "work deserves money", but
do you think IBCLCs in the world can afford all the "breastfeeding and
lactation" journals? Who are the targets? we all are from all around the
world; who are our targets? the families....
Then I wish to bounce back on what you said.... about the difficulty to
meet to validate a protocol.... let me give you a parallel example:
I am a pretty good translator of texts, studies, courses, from english to
french; I can remember a task, my translation needed to be validated by a
Canadian friend, the "computer aspect" (copy paste my translation into a
special software) was done with a guy in Australia; I live in France, right
between them, so mornings if needed, I was with the computer guy; evenings
with my colleague in Canada;
I took me ONE week to translate a 100 pages course; it took 3 months before
my colleague starts validating my translation; in between, I had
copied/pasted into the special software);
Do you think the course was put on line (then enabling IBCLC Candidates to
subscribe) before all was checked? Before we were all sure that my
translation was OK (and it was) and that all was correctly put into the
software (which it was)...
If I may dare, I would say that revision of a protocol should arise when
new datas, numbers, arrive that are evidence based, AND that we all should
change our way of working, like: a big change in the rates of bilirubine or
glycemia so that: in function of this new rate, "we" have to start
something and not "wait the former rates", a big evidence based data rather
than "oh it was difficult to meet so we take advantage of a revision to
fulfill the gaps".
Or I misunderstood...
We all are aware we all are busy; no problem; it is life; it is busy life;
at the same time, we have responsibilities, all at our individual level so
all facing our individual targets, ibclcs for ABM, families for ibclcs and
counselors; to give the best and latest evidence based data and manner to
deal; with evidence and mechanical/clinical explanations and evidence.
Thanks for reading me,
Best regards,
Françoise Coudray, IBCLC
Le mar. 12 sept. 2023 à 09:43, Elien Rouw <[log in to unmask]> a écrit :
> Naomi,
>
> Thank you for your kind response and I will give your praise further to
> the Protocol Committee. It is difficult, but through discussions like this
> we bring the field forwards.
>
> Elien
>
>
>
> Elien Rouw
>
> Im Wasserbett 7
>
> 77815 Bühl
>
> Tel: 07223-900302
>
> Email: [log in to unmask]
>
>
>
> Von: Naomi Bar-Yam
> Gesendet: Sonntag, 10. September 2023 03:03
> An: [log in to unmask]; Lactation Information and Discussion <
> [log in to unmask]>
> Betreff: Lactnet Mastitis protocol
>
>
>
> Elien,
>
>
>
> Thank you for your clear comments on the mastitis protocol. Protocols and
> reviews are indeed complex, highly specialized, research is lacking, and
> often not very good quality. This all makes it quite difficult to write and
> review protocols for others to use in their own practice.
>
>
>
> Thanks to ABM and all those who so generously give their time and
> expertise to write and review protocols.
>
>
>
> Naomi
>
>
>
> ---------------------------------------
>
> Naomi Bar-Yam, Ph.D.
> Director Emerita
> Mothers’ Milk Bank Northeast
> Cell: 617-599-2902
> [log in to unmask] <mailto:[log in to unmask]>
>
>
>
>
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