In a message dated 10/1/2004 12:08:43 AM Eastern Daylight Time,
[log in to unmask] writes:
in our society here in the US, many of us have to practice
defensive lactation management. We have to tell moms all the =
possibilities and what to look for because they won't get the appropriate
knowledgable follow-up they should. In this case, breastfeeding got blamed as
the
problem, not the fact that they had no one knowledgeable in its =
management working with this mom on a daily basis.
Dear Friends:
This post reminded me of Dr. Derrick Jelliffe's comment that
"breastfeeding is a confidence game."
Every mother should go for it; the key is the adequate followup,
starting with trained observers making a breastfeeding assessment every shift while
she is in the hospital, as the ABM recommends in their protocol about
hospital management. And then, continuing in the community, with support and
monitoring of baby's weight. Mothers and families need to know signs of milk
sufficiency (baby wakes to ask to eat at least 8 times a day, baby wakes up to look
around, baby poops yellow by day 5, and baby has begin to gain weight by day
5).
At the beginning of my career (1971), I was one of those "breastfeeding
always works, it's the natural way" nurses, who blithely told mothers just to
breastfeed and all will be well. I shudder now to think of how many mothers
and babies I derailed. It is wonderful now to have such a wealth of evidence
to put into practice!
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
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