Jeanette Panchula <[log in to unmask]> wrote:
  I have already clearly stated my conviction that the observation and
evaluation of a breastfeeding by an IBCLC should include a weight check -
this is not the ONLY item but a very important item - as long as the scale
is an EXCELLENT one,    
   
  ***
  Jeannette, do you mean to say that any IBCLC that does not do weight checks is not a good IBCLC? If that is so, I have to not agree with you. I am a IBCLC for 14 years now and have never, not once, used a scale of any sort in any situation. And I certainly do not feel that I did not do a good job, nor did my cllients. Perhaps my clients are very different from yours or perhaps I developped other skills that enable me to evaluate infant growth and development. I cannot recall any situation where I may have wished that I had a scale at hand.
  If a baby grows and thrives he gets enough to eat, if he is not growing or not thriving he may not be getting enough to eat or there may be a problem in processing his food. Ba'bies may eat well and process adequate amounts of food and still not grow and thrive. A scale will not tell what baby does with the food he gets.
   
  I wonder if the differences in how IBCLCs think about the use of scales could have a link with our backgrounds: do IBCLCs who were in healthcare before becoming an IBCLC use more scales than those of us who originate from the lay breastfeeding fields, like LLLleaders?
   
  Warmly greeting,
   
  Gonneke IBCLC, LLLL, MOM,
   
  in southern Netherlands, where spring finally seems to get a last try.



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