Diane W. asked:

Is it because I'm not an RN?  I've never seen a problem with any of these
recent discussions.  I see it as my job to inform the mother of her
choices,
to give a professional opinion on which choices I suspect would be most
helpful, and to help her implement any of the choices that she likes.

I usually give tongue-tie moms all the pertinent articles out of JHL 6(3)
1990 (*Wonderful* issue!) and Alison Hazelbaker's Assessment Tool (we
usually work through it together, which gives the mom an even better
understanding of what's going on), and discuss the pros and cons of various
actions.  I also have a sheet listing all the tongue-ties I've worked with,
their various decisions and outcomes.  If I know her ped to be one who
doesn't snip, I give her a list of people who will, and their prices.

I've never seen this - or domperidone or anything else - as any more of an
ethical dilemma than seeing someone with a bald tire whose favorite
mechanic
hasn't commented on it.  Why would I hesitate to tell her about some good
tire shops where she could have it checked?  Because her *mechanic*
wouldn't
want me to??

Diane,

I think you have hit the nail on the head! We nurses have been socialized
to never disagree with physicians, or if we do to believe it's a big deal.
It took me years to get over that brainwashing. When I got my MS outside of
nursing the light went on.... "wow, people in other professions don't worry
about this.... hmmm...."

Long and short of it: I tell mom where to get whatever she is looking for.
It's her body and it's her baby.

Susan







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