Diana writes:

<<In terms of recommending/prescribing - I'm saying everyone  should consider
how they discuss these things with moms.  If you make  a suggestion to the
*physician* and leave it up to the MD or midwife to do  the actual 
prescribing,
that is very different than instructing a woman to  go to her pharmacy and buy
something, even if it is over the counter.   I still maintain that it's 
possible that
the latter situation could be  construed as prescribing,>>
******************************************************************************
**********
According to my husband the pharmacist, that is NOT  prescribing.   I agree 
that it is important that when we discuss  various modalities with a mother, we 
need to explain all the potential side  effects of same, just as 
pediatricians explain all the potential side and long  term effects when they tell mothers 
to stop breastfeeding and put the baby on  formula for -- oh, any number of 
reasons.  
 
And as I said yesterday, where do you draw the line?  
 
Frankly, I think the "many mothers have found...." line is  hiding behind a 
statement that is just as much "recommending" as anything  else.  Useful, but 
you are still recommending.  And do I recommend  that a mom that has an 
inflammatory process in her breast take ibuprophen  instead tylenol because of the 
anti-inflammatory process?  You bet your  boots I do.  Do I ask her if she is 
able to take it for other things, like  a headache, or was it given to her in 
the hospital?  Yes, I do.  And I  explain why I am recommending it.  Do I tell 
her it is important to contact  her HCP because they may choose to put her on 
antibiotics.  Yes, I  do.  But I also give her more recommendations than the 
HCP generally  will.  And I also tell her to keep nursing her baby, hoping to 
forestall  the inevitable, "Stop nursing while you have this problem...."
 

 
 Jan
_Lactation Education  Consultants_ 
(http://www.lactationeducationconsultants.com/)  
_My blog_ (http://www.motherofbridebyjan.blogspot.com/)  
_Year of the  MC_ (http://www.marriedcouplebytorrey.blogspot.com/)  



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