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Fri, 29 Dec 2006 11:26:39 +0000 |
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Jean Cotterman asked me to clarify my previous post about clipping
tongue-tie in babies.
The high number clipped by me is due to a number of factors.
I have been doing this since 2002, having been taught by a wonderful
consultant paediatric and neonatal surgeon, one of the colleagues with
whom I did the RCT.
At that time there were few places treating this in babies. So we
instituted a weekly clinic and babies from all over the UK come. Also at
the clinic we teach other health professionals how to clip so that they
can do it in their places of work.
I did this as part of my work as lactation consultant and infant feeding
advisor at the large, busy, general hospital at which I worked until my
retirement in October. It was not done as an IBCLC. As a general nurse
my hospital covers me for the insurance and the paediatric surgeon is
responsible for that part of my work even though he is not around when I
run the clinic.
There are now about 20 non-doctor health professionals doing this in the
UK, and many more on the list to train with us.
In fact my hospital considers this training to be so important I have
been asked back to do one session a week as there is no-one else to do
the training.
The National Institute for Clinical Excellence, NICE, an important body
in the UK, decided a year ago that snipping the frenulum in the way we
do it was safe and desirable in babies who had feeding difficulties. It
also stated that it should be done by 'suitably trained health
professionals'. The word 'doctor' was not mentioned.
Hope this clarifies the situation. Also highlights how the SOP as it was
written does not reflect different laws and practices for those of us
who are IBCLCs outside the US.
Regards, and Happy New Year,
Carolyn
--
Carolyn Westcott RN IBCLC Southampton UK
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