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Sender:	Lactation Information and Discussion <[log in to unmask]>
Date:	Wed, 9 Nov 2011 12:56:52 -0500
Reply-To:	Lactation Information and Discussion <[log in to unmask]>
Message-ID:	<[log in to unmask]>
Subject:	Re: postpartum hemorrhage
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From:	Melissa Senf <[log in to unmask]>
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Looking forward to the pop quiz. I doubt I will do well. I just learned what anticipatory guidance means.
Melissa Senf, RN, IBCLC, LLLL (retired)
I am new to the hospital setting and learning all sorts of things.

>>> Elizabeth Brooks <[log in to unmask]> 11/9/2011 12:42 PM >>>
Excuse me, but did your colleagues REALLY just say "since we don't know
that that will happen there is no need to mention it as it is not relevant
and might be discouraging?"

Would they send home, unawares, the patient with sky-high blood pressure
--because a stroke might not happen, and it would be discouraging for the
patient to contemplate one?

Would they send home, uninformed about wound care, the patient who just had
stitches -- because getting a disgusting infection might not happen, and
noone wants to think about pus?

Fer cryin' out loud, when will the health care profession stop patting
women on the head, and saving them the trouble of making (dare I suggest
it?) evidence-based, informed decisions on lactation matters involving
themselves and their children, after consultation with their healthcare
providers? Like us IBCLCs?

Sheesh. Please, everyone, your homework today: Go read the IBLCE Scope of
Practice, http://www.iblce.org/upload/downloads/ScopeOfPractice.pdf, in
particular the 2nd, 3rd, 4th and 6th listed duties. Tomorrow there will be
a pop quiz on providing anticipatory guidance to a breastfeeding mother at
risk for lactation complications and failure.
--
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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