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Sun, 29 Oct 2006 21:25:13 EST |
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I am still waiting to figure out all the Scope of Practice discussion and
since I haven't had one sent to me to read it and decide how it will truly
effect me now and in the future I will continue to read everyone else's
speculations and interpretations.
But someone addressed the Second Credential and compared it to ASPO/Lamaze
"changes".
As a LCCE/FACCE long before I became a IBCLC, I need to speak to this
misconception of a watered down Childbirth Educator credential.
Lamaze changed how they pathwayed their credential. It did not dilute the
credential and their is no second credential. What has changed the face of
Lamaze is the technology of birth. Epidurals, inductions and cesareans as well
as physicians who no longer refer patients to childbirth classes and
patients who no longer think that education is a realistic and necessary part of
their birth experience have changed the face of birth. Childbirth Educators
have had to become inventive and resourceful and work with and around the system
for years.
I remember when I started teaching 30+ years ago we ran classes 8-10 sess
ions now we do classes from 5 weeks to a weekender session. Why because this all
the clients want.
I see clients who come for a tour, the film and learn about the epidural,
then they drop out.
Couples come because they think it's like the ritual of birth...go to
class....get your epidural...have baby and then see lactation consultant
...breastfeed for 6 weeks....go back to work...send child to caregiver or daycare. 2
years...repeat process just no childbirth class.
This birth in South Florida. Is it the same in the real America ...maybe
yes and maybe no.
Is it the same in the rest of the world.....NO!
Same goes for breastfeeding what happens in America is very very different
from the rest of the world. Does it mean we are the correct ones. I think
not. We have much to offer and share, but we also have very much more to learn
from the sister countries.
IBCLC needs to take that infamous global view point and apply it generously.
American medical professionals are quick to take offense when someone, even
another professional questions how they practice or advise. Just this
weekend I had a patient who was being treated and her MD said that the fertility
specialist was his guidance on the treatment. So did that doc. But after a
procedure when I read back old orders to get see if he would keep them I got
"Who ordered that, I didn't" well it turned out the fertility doc recommended
and you did sign off on them several days earlier...."I did not". A lot are
fearful of legal ramifications and I have a strange feeling this is what is
driving the S of P line of thought.
Get a global perspective and get some people with and with medical
credentials but with lactation credentials and then a lawyer and add some people with
common sense...this is the panel of experts to rethink the S of P. Then
remember the old adage, "If it ain't broke, don't fix it"....but this time I think
it's broke.
Enjoying the reflections of so many wise people.
Leanne Jewell RNC, IBCLC, LCCE, FACCE
South Florida
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