Hello Lacnetters!
I have been following the debate on risk factors with keen interest. 
Unfortunatly, for me anyway, the sides are about even and it's either "d*** if 
you do and d*** if you don't" or "Win, win" depending on how you look at it.
The approach I use often depends on the environment in which it is used. 
When I am called into a kaotic environment, (which happens often; a large 
part of my clientel is low income bracket young women from large families. 
They go to their mothers after birth and their younger siblings are very 
excited, the apartments are small, etc) where the mother is agitated, and 
where there is little or no support I am hesitant to discuss risk factors. 
Instead, I stay longer, give clear, simple information, which I also write down 
for the mother, and follow up telephonically daily for three to seven days. I 
also say, "This should work, but if it doesn't there are more things to try". 
Hopefully, if I have to give bad news in a few days, we've already established 
trust between us and it's easier.
When the environment is calm and the mother is confident it's a different 
story.
Of course I can do this because I don't work in a hospital and I don't depend 
on BFC for income. No fair, I know.

Question: Is there an IBLC in the Beersheva/Negev area in Israel? 
Friend's grandchild in the town of Ofakim, two weeks old, yellow, the mother 
just needs encoragement and information; the other grandmother never 
nursed her children and is full of old wives tales and worse. Until now they 
weren't interested in listening to a professional, now they are.

Yael Edelstein
ICEC BFC

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