The comment was made that if we make a suggestion to the physician  
and they recommend something it's okay.

Diana - you are obviously a doctor who values breastfeeding and  
understands it has a huge body of knowledge. Unfortunately, that is  
not the case for most physicians. I had a physician call me to ask  
what the dosage for Domperidone was because she had a patient who  
wanted an Rx for it. I had 2 doctors tell a mother that a retained  
placenta was in no way related to low milk supply, AND that I was  
straying into the "medical realm" by telling the mom involved that it  
was. I had one doctor ask what could there possible be to learn about  
breastfeeding that would take 3 whole days to learn. I had another  
doctor ask me what the tongue had to do with breastfeeding. I could  
go on and on, but I won't.

And I work at a hospital where 95% of our moms breastfeed, in a  
community that is known to be very pro-breastfeeding! And this is the  
level our docs work from. And I'm supposed to defer to their superior  
knowledge? The only word for that is irresponsible.

For the record, when I tell moms about Domperidone, I inform them  
about the controversy and encourage them to do independent research.  
Most moms have access to the internet and if they do much surfing  
related to low milk suplpy, they will hear about Domperidone and not  
a lot more effort will let them know it is available OTC by internet  
order. SO, I really don't think I'm stepping out of bounds by telling  
them that, or that there is a pharmacy in our town that will compound  
it.

Lactation consultants are the experts on breastfeeding, and we should  
be allowed to give our best professional opinion.

Andrea Tran RN, IBCLC
Erie/Boulder, Colorado

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