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Subject:
From:
Jim & Winnie Mading <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 23 Mar 2000 18:29:46 -0600
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There is one Ped at our hospital that is 95% supportive of the LCs
and repeatedly refers moms to us.  The major remaining stumbling
block is her insistence that babies should switch sides after 15
minutes.  We did recently give her the "Evidence-Based
Guidelines..." with the challenge to provide us with evidence for
her approach.  Time will tell...
Anyway, in response to her and others including moms who seem locked
into some sort of time limitation I have found the following
approach very successful in getting moms to see the rationale for
watching the baby, not the clock.  It's a way of making the point
without coming right out and telling the parents the Ped is wrong.
"Yes, it's probably true that 10 to 20 minutes of ACTIVE SUCKLING
will finish a side.  The problem is that very few babies suckle that
steadily.  They tend to pause from time to time.(I equate that with
an adult laying the fork down between bites).  There are a couple
ways you could determind when a baby is finished.  First, you could
sit there with a stopwatch clicking for sucking..not
sucking..sucking..not sucking etc.until you reach a total of 10-20
minutes.   Or you could just watch for the baby to tell you he or
she is finished."
I have yet to have a parent choose the "stopwatch" approach.  They
usually chuckle and say, "Of course I'd rather just watch the baby."

Winnie IBCLC from Wisconsin where (dare I say it?) spring seems to
have arrived for keeps

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