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Subject:	Healing a significantly injured breastfeeding relationship takes much skill and time
From:	Cynthia Good Mojab <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Wed, 1 Aug 2012 20:03:42 +0000
Content-Type:	text/plain
Parts/Attachments:	text/plain (28 lines)

Judy LeVan wrote: " Most IBCLCs in private practice where I am spend a minimum of 90 minutes for an initial, and in very complex "train wreck" situations, stay over 3 hours. Of course part of that is counseling the mother through her anger, her tears, and her grief. That can take quite a bit of time. It is something only we do, there is no time or safety in an office or group setting, according to the moms. "

Psychological states such as "intention," "motivation," "commitment," and "determination" play a huge role in the initiation of breastfeeding and in the feeding-by-feeding choice to continue or not continue breastfeeding. These psychological states are undermined as women encounter significant barriers to the development of the breastfeeding relationship. As important as it is, a ll the understanding in the world of the physiology of the mother-baby dyad and of the techniques and tools to move the physical act of breastfeeding closer to and into the spectrum of biologically normal will be of little to no use if IBCLCs do not have the time, for whatever reason, to appropriately engage with and effectively respond to the psychological experience of the mother and baby . The b reastfeeding relationship is the biologically normal means through which the physical and psychological intertwinement of a mother and baby is further developed and expressed after birth. When that relationship has been significantly injured , the provision of compassionate and effective services for its healing takes great skill and much time.

Cynthia

--
Cynthia Good Mojab, MS, IBCLC, RLC, CATSM
www.lifecirclecc.com
www.lactspeak.com/speaker/cynthiagood-mojab
www.facebook.com/CGoodMojab
http://lifespantkd.blogspot.com

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