Dear Linda,

Please don't try to second guess your care plan.  One of the hardest things 
we do is try to figure out what will work with each mother.  Sometimes what we 
percieve as a surmountable barrier can be insurmountable to the mother.  And 
when we have healthcare providers undermining the mother's motivation and our 
own competant care plan, we need to lay the blame for failure where it belongs. 
 NOt at our own feet but at the feet of a medical system that fails to train 
our providers and fails to keep our providers informed of current standards of 
practice in terms of lactation.  (I am continually frustrated by the care 
given mothers I come in contact with.  For example, yesturday a mother of a 5 day 
old who was told to pump and dump for 7 days of CIPRO for a UTI plus 4 days 
posts therapy. I can only wonder how long it will be before grossly incompetent 
care will become a rarity.)  If there is anything you could do differently in 
the future, it is to call the MD and inform him/her of the infant's progress 
and your care plan to ensure he or she also "BUYS" into it.  Warmly, Chris 

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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