I find that the simple open ended question "what are your feeding plans?" Or "how do you plan to feed your baby?" Elicits the best response, without implying that we feel she should choose one or the other,and sometimes her tone will suggest what the follow up question/education should be. The most common answer is "I want to *try* to breast feed". 'Great! It's best for your baby to receive only your milk, and if you need our help, we are here to help you with any or all feelings.'
That leaves the door open for her to state if she plans to supplement, which can then be addressed.
I'd she plans to formula feed, then "what have you heard, or was there anything in particular that lead you to that choice?"
Does anyone else have a rioting they use?
Debra Ray, MSN, RNC-OB, IBCLC
Sent from my iPhone.
On Jun 3, 2014, at 0:00, "LACTNET automatic digest system" <[log in to unmask]> wrote:
> There are 2 messages totaling 78 lines in this issue.
>
> Topics of the day:
>
> 1. Re; pc-05a script
> 2. Nipple shield and maintaining milk supply
>
> Lactnet Archives are at:
> LACTNET Archives http://community.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index, etc, go to:
> http://community.lsoft.com/archives/lactnet.html
>
> Thanks!
>
> LACTNET Facilitators
> Kathleen B. Bruce RN, BSN, IBCLC
> Rachel Myr, midwife, IBCLC
> Kathy Koch PhD
> Linda Pohl
> Karleen Gribble PhD
> Norma Ritter, IBCLC
> Nina Berry PhD
>
> Questions to [log in to unmask]
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
> ----------------------------------------------------------------------
>
> Date: Mon, 2 Jun 2014 15:38:58 -0700
> From: Winnie Mading <[log in to unmask]>
> Subject: Re; pc-05a script
>
> "At our hospital we have this scripted
> How do you intend - plan on feeding your baby while in the hosptial?
> Breastfeeding means your baby will not recieve anything but your milk.
> If you need help the staff will help you nurse your baby everytime she wakes up"
>
>
> To me this wording is guaranteed to reduce the number of mothers planning to exclusively breastfeed! An experienced, well-informed mom will say "great!". However, a first-time (or first time considering breastfeeding) mom will hear, "Well, if you think you want to breastfeed, we won't give baby anything to eat and you'll have to feed the baby all the time. We'll be sure you do. It won't be easy and we'll have to help you."
> Of course it's not actually said this way, but based on my experience, too many moms will hear it this way.
> Winnie Mading, retired LC
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
> ------------------------------
>
> Date: Mon, 2 Jun 2014 19:22:27 -0700
> From: Melinda Harris-Moulton <[log in to unmask]>
> Subject: Nipple shield and maintaining milk supply
>
> Seeking help from the experienced
> PTP. Baby 3 wk now. Always used nipple shield due to firm small
> inelastic breasts/nipples. With fenugreek and pumping, devoted mom has
> a good supply. I advised OK to wean fenugreek. Has reduced pumping
> from 10 x daily to 5-6 x daily. Baby growing well and now loves
> getting milk at breast with shield and no longer supplementing via
> finger feed. Will work towards getting her to the breast.
> I've checked my books and the Lactnet archives, and it seems that
> there is no studies or consensus on use of silicone nipple shields and
> milk supply. I'd thought that nipple stimulation was needed to make
> milk, but of course moms of premies can make milk using a
> pump/vaccuum. And I understand that "an empty breast makes milk" .
> I interpreted the information I've gleaned to mean that nipple
> stimulation is important to initiate production: But-- once supply has
> been established, will emptying the breast with only the stimulation
> through a shield be enough to maintain her supply as long as breast is
> getting emptied? Of course, she'd like to stop pumping! She gets
> anywhere from 5-50 ml when pumping, depending on how well baby nursed
> last.
> Thanks for your thoughts,
> Melinda Harris-Moulton
> IBCLC, ARNP
>
>
> Sent from my iPad
>
> ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
> ------------------------------
>
> End of LACTNET Digest - 2 Jun 2014 (#2014-282)
> **********************************************
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
