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Subject:
From:
"Phyllis Adamson, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 8 Apr 2004 13:55:12 -0700
Content-Type:
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Betsy:
I have "appropriated" a similie from Linda Pohl to help moms explain what happens in baby's mind when mom always tops off with formula:
Suppose mom could eat anything she wants for any meal she wants, perhaps for exactly 15 minutes, considering that most of these "topoff" moms do limit feeds by the clock expecting baby to be full in that time.
But then after every meal, she MUST consume one peanut butter and jelly sandwich.
Even with time limits to the first part of the meal, how soon would mom begin limiting what she eats during that first 15 minutes, just to leave room for the peanut butter and jelly sandwich? and how long would it take before mom decided to space our her meals & not want to eat so frequently?
The food example can be anything: a large banana, a milk shake, bowl of oatmeal...
This reasoning may get through to a few nurses also.

It drives me crazy to read in Progress Notes: "Encouraged mother to breastfeed first before giving formula." Which means, "try to breastfeed first, but all feedings must be finished with formula (peanut butter sandwich, banana, milkshake...)."

Phyllis


-----Original Message-----
From: "Wells-Gephart, Betsy" <[log in to unmask]>
Sent: Apr 8, 2004 8:52 AM
To: [log in to unmask]
Subject: Writing Articles

"Maybe you nursing physicians need to kibitz together and write a good
article on "how-to" for JHL or JAMA or some such journal :-) Such valuable
info on working and nursing needs more widespread distribution!"
Sincerely,
Pat in SNJ

I was just thinking something along these lines.  I just went into a room of
a primip. Spanish(some English, too) speaking mom who is breastfeeding.  She
told her nurse that her dr. ( a family practice doc) told her to "breastfeed
on one side, then supplement, breastfeed on the other, then supplement.
Until there is milk....because there isn't any now."(!) This is a woman that
came to me for some info when she had a new baby just a few months ago.  I
believe she is BF her own.  I would love for the above idea to come to
fruition.  I know that the Journal of Family Practice is a good place, too.
I love reading the entries of our lactnetters who are breastfeeding doctors.
It gives me hope!  But, when will these doctors here educate themselves on
such a very important subject?...and how DO you encourage them to do so?
I'm soo frustrated and it's so early in my day!!

Betsy Wells-Gephart RN, IBCLC
Lactation Specialist
Chandler Regional Hospital

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