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Subject:
From:
"Catherine Watson Genna BS, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 29 Apr 2013 21:35:25 -0400
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I'd talk about the health importance of breastfeeding for a few minutes 
to motivate them to care. Alison Steube's articles are great reviews to 
cite for them.
Then, I'd tell them that recommending that moms bf is powerful - that 
mothers who felt their doctors were positive about bf were more likely 
to bf and be successful. (Have an answer prepared about guilt, they will 
ask!)
Then I'd talk briefly about helping mom get started- how important the 
first feeding is (baby self-latching, that it takes drugged babies twice 
as long (Widstrom and Bystrova's studies), how many bfs in the first few 
days calibrates the milk supply, that bf should not hurt, and where to 
get basic information (Gail Hertz's little green book is a great 
resource to point them to).
Normal feeding management (how mother and baby co-construct feeding 
patterns based on mother's storage capacity and baby's growth needs), 
how to find good information on medications and bf (LactMed and 
InfantRisk), and how to refer to an IBCLC when there are problems. I 
think they need to know that milk production can be increased, moms can 
supplement at the breast and with their own pumped milk, and that nipple 
injury and engorgement require quick care to avoid poor outcomes. Sneak 
in a little about tt if you can.

I know this is ambitious, but docs are used to fast info dumps. G

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

On 4/29/2013 8:50 PM, Peg Merrill wrote:
> I have been asked to talk to a group of residents at a local hospital in
> May  Only have 45 minutes.  Looking for suggestions as to what to talk
> about.  The women who called me is a GP residents currently nursing her
> second baby and knows that she learned nothing about breastfeeding in
> medical school.
> what would you think would be most important to cover?
> Peg Merrill
>

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