In a message dated 6/26/2004 2:54:01 PM Central Standard Time,
[log in to unmask] writes:
An IBCLC called me, very upset - legitimately so!   A mom/baby were seen on
day 3 in a pediatrician's office - baby had lost more than 10% of birth weight.
 They decided to "assess" breastfeeding ... By pumping the mom, getting one
ounce of milk and feeding it in a bottle - they weighed the baby before and
after this "feeding" ...and reported a one ounce weight gain! They didn't refer
the family to the LC!
Hmm....this is exactly the story given to me per a mother-in-law I spoke to
on the phone this week.  Somehow I don't think it's the same scenario, but the
similarities are quite striking!  We are indeed swimming upstream much of the
time, aren't we?

Another conversation I held this week with a hospital LC evolved around the
facts of how difficult her job is in the hospital because she has to play the
politics and deal with the docs, etc. which is why she can't get as much
accomplished as me in private practice.  We actually had a very nice phone
discussion and agreed on a lot of things.  In many respects I agree with her that I'm
freer to do the right things for the moms I see since I don't have to play the
hospital politics.  Yet, then I received a call from a nurse in an OB's office
regarding a Reglan prescription for a mom.  And, I felt like I was treated
disrespectfully just like the hospital LC gets bruised by the hospital politics.
 This nurse lectured me about how this mom didn't need Reglan, but simply
needed to get her babies onto the breast and to pump her breasts and her milk
would be here.  Don't we wish sometimes that it were that easy?  I wonder which
school she went to that she's figured out how easy it is to breastfeed for this
mom....

Swimming upstream....I wish I were on the "easy road" at times; if only I
could discover where that road exists.

I'm off to enjoy a beautiful evening!

Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
St. Charles, IL

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