Hi all,

I'm reading all the posts on the SOP with lots of interests and sadness at
the same time.  I'm not an IBCLC yet.  I may have had enough hours to sit
for the exam this year, but declined due to financial reasons and also to
get more experience.  I've been an RN for about 11 years, 5 of those in
Mother/Baby setting and a LLL Leader for 6 years.  LLL is my heart and I
have never had a problem pointing out to mothers the poor information they
were given by their doctors.  I do it with as much tact as possible, always
explaining the source of my information.  Now with this new SOP, IBCLC's
have their hands tied and their mouths muzzled.  So that leads me to the
helping call I received yesterday and how I handled it.  Under this new SOP,
I suppose I would have to first call the doctor, explain why his advice was
poor, but the damage is already done and the breastfeeding relationship
lost.  Friend of the mom called to ask if what the doctor told mom to do was
correct.  Mom has 8 week old baby girl who has been nursing but has had
"jaundice" since birth.  Doctor told mom it was her breastmilk.  I explained
to friend that there is something called "breastmilk" jaundice, but that it
is usually something in the mom's milk, either a med or some other
ingredient.  Doctor told mom to wean "cold turkey" and so mom endured 2-3
days of horrible painful engorgement and at the same time lost the
breatfeeding relationship.  So what would a responsible IBCLC do in this
case?  I realize the mother's friend called and not the mom herself...but if
they mom did call and tell me that this doctor told her to quit BF cold
turkey, how could I handle this in a  way that aligns with the SOP?   It
just doesn't make sense....this whole profession is based upon helping
mothers obtain accurate, helpful information so they can successfully
breastfeed their babies.  If my co-worker IBCLC didn't tell me 6 years ago
that it was ok to nurse while pregnant, but I listened to the "wean"
immediately advice I received from every OB I talked to, I wouldn't have
ever experienced tandem nursing.  If she had to operate under this new SOP
she wouldn't have been able to disagree with the docs advice.  The examples
of how this SOP is detrimental can go and on.  I do hope that this new SOP
is revised.

Sheena Carnes MOM, BSN, RN, LLLL, CBE
Breastfed 3 beautiful girls

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