Thank you Jeanette Panchula
Your response was perfectly stated. I agree with you. And like you since
the Lactation Summit, I am very sensitive to all the issues you mention.
thank you.
Carole E Peterson MS, IBCLC
In a message dated 8/10/2014 11:59:18 P.M. Eastern Daylight Time,
[log in to unmask] writes:
------------------------------
Date: Sun, 10 Aug 2014 11:12:08 -0700
From: Jeanette Panchula <[log in to unmask]>
Subject: CLC/IBCLC
Pat Young said:
"I see a LE (CLC) as akin to the average LLLL. Know the yellow and red
flags and know where to point mom to get the help she may need for a more
complex problem. Then when you have been a LE (CLC) or LLLL for a long
time, take the exam and move up the ladder, if that is your goal. "
I agree.but there is a problem now! With the requirements of college-level
courses, many LLL Leaders, especially from other countries, but even in the
US (where I've trained Peer Counselors in Spanish, but they cannot read and
pass the courses offered in local community colleges) are unable to take
the
IBCLC exam (even if offered in their own language). That means in the US
we
will continue to be white and monolingual!
We are making the IBCLC, in my opinion, more like a Nurse Practitioner
level
rather than equivalent to Speech, physical or occupational therapist -
which
was what I thought we were aiming at. A team of players to work WITH the
health care provider - not that we would be doing everything from
Craniosacral therapy to Nutritional supplementation recommendations.
I totally support those IBCLCs who would like to become higher level
specialties - think that is great, and refer to them and their books and
studies often! However, requiring everyone at the entry-level of the
IBCLC
to meet those requirements is leaving no one at the level that most mothers
need - assessment, information and education and referral if needed to
others. was what I thought we were aiming at. A team of players to work
WITH the
health care provider - not that we would be doing everything from
Craniosacral therapy to Nutritional supplementation recommendations.
I totally support those IBCLCs who would like to become higher level
specialties - think that is great, and refer to them and their books and
studies often! However, requiring everyone at the entry-level of the
IBCLC
to meet those requirements is leaving no one at the level that most mothers
need - assessment, information and education and referral if needed to
others.
It also prevents many in the Native American, African American and
Hispanic
groups from ever getting ON the ladder to go UP! I KNOW it has prevented
very experienced LLLLeaders in Latin America to even try - as they feel
this field is totally closed to them - as it probably is to many others
such as those in Japan (as I learned in this years' ILCA Conference).
Sorry.a real issue for me right now!
It also prevents many in the Native American, African American and
Hispanic
groups from ever getting ON the ladder to go UP! I KNOW it has prevented
very experienced LLLLeaders in Latin America to even try - as they feel
this field is totally closed to them - as it probably is to many others
such as those in Japan (as I learned in this years' ILCA Conference).
Sorry.a real issue for me right now!
Jeanette Panchula, BSW, RN, PHN, IBCLC
La Leche League Leader
Public Health Nurse (retired)
International Board Certified Lactation Consultant
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------------------------------
Date: Sun, 10 Aug 2014 14:46:14 -0500
From: Pat Young <[log in to unmask]>
Subject: CLC/IBCLC
sorry - I sent this to Jeanette instead of whole list. We thought I
should share it with all. Pat in SNJ
Interesting eval of the levels of expertise and I agree! I hadn't thought
about how the college level courses impact IBCLC wantabees around the
world. I apologize.
Somewhere in IBCLC land there needs to be entry levels akin to experience
levels, as it was in the beginning. Pat in SNJ
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Date: Mon, 11 Aug 2014 08:16:50 +1000
From: Karleen Gribble <[log in to unmask]>
Subject: Re: surprises about low supply
Absolutely Rachael!
Karleen Gribble
Australia
> So: two serious medical conditions predisposing for low supply,
> history of an intervention which can impact supply, a complicated
> birth which lessened the chances that the baby would be able to feed
> effectively from day one, massive generalized edema post partum, very
> little stimulation in the first 48 hours and sporadic expression from
> then on - and still she was producing more milk than many of the
> 'healthy' mothers on our ward.
>
> All this illustrates is that you really never know whether anyone is
> going to make a ton of milk or hardly any. I continue to hold that all
> mothers should be cared for with the assumption that breastfeeding
> will work until proven otherwise, by skilled and knowledgeable people
> who are able to keep an eye out for complications as they emerge so
> they don't get a chance to become insurmountable. This case did not
> *really* teach me anything new, except perhaps that even quark works
> for engorgement if you expect it to.
>
> with utmost respect for the work of mothers,
> Rachel Myr
> Kristiansand, Norway
>
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End of LACTNET Digest - 10 Aug 2014 (#2014-389)
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