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Lactation Information and Discussion <[log in to unmask]>
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Thu, 11 Sep 2008 11:20:08 EDT
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Julie J writes:

With my  afternoon client...something went terribly wrong. First 5 
minutes,she refused  skin to skin for her and baby because she thought this would upset 
the baby.  She consistently resisted everything I suggested. I mean 
everything. Even down  to the payment.  The entire 2 hours I had a smile on my face and 
was very  professional trying every trick in the bag to give her what she paid 
for. It  makes me wonder whether I should have left significantly early on in 
the  consult when the first criticism started without trying further. My 
question  is: what is the professional standard with people like this? Leave early 
and  cut my losses or try to work it out despite the passive aggressive  
behaviors?  Seriously, I have only worked and served the most wonderful,  hard 
working, loving, appreciative clients in the  world.


~~ Oh, Julie, been there. I wish I could say that I have  only served the 
most wonderful,etc...clients in the world. Many are, yes, but  there have been 
enough of the "difficult-to-serve" moms as well. Local LCs who  live near me, 
and I often need to vent about these situations in a safe,  professional way. 
Knowing when to move on is not easy. A few times I have  even told mothers on 
the phone that it did not sound like I would be what the  mother needed, and 
referred her to another LC I thought might be able to  help her better. Some 
mothers are just so exhausted and/or traumatized by  their birth experience ( and 
this can happen even with homebirth, rarely)  that they really are not 
themselves. They are in shock. With questions to see  what is going on, giving good 
information and letting the mother indicate what  she finds feasible to try, 
and everyone getting at least some sleep and food,  these moms often relax and 
become the person they are, quite nice, when they are  not in a major 
crisis/shock. Occasionally though, they remain demanding and  rude, which must be how 
that person really is, I guess. Sometimes I can  tolerate the mother's road 
blocks and what felt like rudeness better if the  partner at least is listening 
and trying to work together. One mother I would  only go see if the doula was 
there with me. We ended up working well together  over a period of weeks and 
breastfeeding and mothering really fell into place  for this mom and baby and it 
was great to be part of that. We are seeing people  in such a vulnerable 
state, and I agree with the poster who said that  sometimes parents get 
blind-sided by how hard the early days/weeks can be. 
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA




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