Leanne describes a really difficult working situation :(

Leanne, you say:


>
>As head of the breastfeeding taskforce we are trying so hard and
>then we get some old fashioned ill read pedis or young Latina pedis
>who tell supplement. Our jaundice population can be higher on some
>occasions and i have one LC who will give 30-45ml on day 2 and 3 if
>baby not feeding yet she gave us the amt of? a new born SHOULD be
>fed!


I take it you mean these babies have fed normally and appropriately,
yet the LC is telling them to supplement?  This is unprofessional and
unsupportive of you, the taskforce and the mothers and babies.


>  I tell them they will be buying formula so why not spend the money
>on an LC and save more in the long run.


Why would these mothers spend money on an LC if they have seen how
unsupportive and ill-informed an LC can be?

The only way I have observed that inappropriate supplementing will be
reduce is if it is made a professional practice issue - the HCP who
suggests it or permits it is required to take responsibility for it,
and to explain to her manager the next day why it was done.  If it is
the mother's choice, then she has to document in the notes, and
signed by the mother,  that she has explained to the mother the
potential impact on her breastfeeding and on her infant's health.

Heather Welford Neil
NCT bfc, tutor, UK

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