--- On Sat, 9/20/08, Lisa Marasco IBCLC <[log in to unmask]> wrote:

>>Considering all this, what would you think, say and/or do, when a group
=
of influential IBCLCs says that lc's should restrict themselves to =
breastfeeding (in which bonding, attachment, baby behaviour, parental =
expectations about babies and interaction with newborns are *not*, =
repeat *not* part of the lc profession) and is thereby hindering the =
process of preventing the introduction of national guidelines for young =
child health care, that promote letting baby cry it out, stretching =
feeding schedules, restricting interaction to certain moments of the =
day, leave baby to play on its own because of the perceived need for =
independence at the age of a couple of weeks and defining short periods =
of sleep, frequent breastfeedings and regularly waking up as problem =
behaviour?
I hope you are willing to abundantly share your opinions with me on this =
one. I'm having extreme difficulty getting the meaning of the =
extensiveness of our (at least *my*!) profession across... :-(  <<

Marianne, 
Are you saying that this group of LCs *agree* with policies that promote
crying it out and extending feeding intervals, or are you saying that they
don't like these things but believe that these things don't fall under
their
scope and therefore they shouldn't say anything?

IMHO, normal infant developmental issues are interwoven into breastfeeding.
We are not just breastfeeding mechanics, dealing with physical issues only.
In fact, if physical issues were our main problems, we'd be doing well! 
But
it is the naïve behaviors and choices of mothers, parents, families and
professionals that lead to many of the problems we see.  Therefore, I
believe that these issues do fall within our scope.  

I suspect there is more context to this conflict than is evident here, so I
am only responding to what has been described.

~~~~~~~~~~~~~~~~~~~~~~

~Sure, more is going on. I know the group and the circumstances Marianne is referring to, ofcourse
To clarify, it is this group that strongly vents the opinion that LC's should restrict themselves to treating breastfeeding as infant feeding alone and don't get involved into psychology, parenting, etc.
It very much is not Mariannes or my opinion.
The upcoming national guideline that should be prevented is really scary and goes beyond breastfeeding as food alone. It is about promoting detached parenting and totally parent-controlled infant care. Not as bad as Ezzo cs, but going into that direction

I really, too, would like to know the opinion from our lactnet friends about how denying psychology and parinting to be a part of LC work does comply with the scope of practice. OR even the code of ethics.

Warmly,
Gonneke, IBCLC, LLLL in southern Netherlands, as IBCLC/LLLL since ever convinced of the un-splittable connection between breastfeeding and mothering

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