I missed the origional post could Darlene e-mail me privately and let me
know what she's doing?  I put together a talk (with a local OB) re how
to fit bf into a buisy practice... if Darlene (or anyone else) wants an
outline, e-mail me.
I am part of a group of MDs trying to increase interest in promoting BF
by OBs, FPs and Peds in the state of WI.  We are currewntly surveying
our 'academy' members to see what they want in the way of education.
Anyone who has developed handouts, talks, resource lists, etc. aimed
specificaly at MDs please e-mail me privately.  I recieved several
wonderful offers to help (grunt work) from WI LCs and RNs-- THANK- YOU,
- and I really am not trying to be elitist, but we need to go physician
to physician on this one.
For everyone's info there are Breast Feeding Coordinators thru  each
state's American Academy of Pediatrics chapter... all doing various
projects and various activity levels.  If you're interested in
networking with pediatricians in your state, contact the AAP, Pat Stein
is the staff support person who can let you know who the coordinator is
in your state... e-mail [log in to unmask]  or phone.. 1-800-433-9016.
onward!
grace
> -----Original Message-----
> From: Chris Mulford RN IBCLC [SMTP:[log in to unmask]]
> Sent: Monday, October 06, 1997 12:15 AM
> To:   [log in to unmask]
> Subject:      Re: Inservice for OB-GYN office
>
> Darlene asks for suggestions for an inservice for an OB-Gyn office.
> Besides
> considering the usual list of "Things we wish you knew so you could
> help
> women breastfeed," I think you might get their attention and win
> points by
> presenting some updated information, such as "New things we've learned
> about
> breastfeeding in the last ten years."  This approach allows you to
> 1) avoid telling them DIRECTLY that they've been saying the wrong
> stuff, but
> instead give them new information with a rationale for why you'd like
> them to
> say different stuff;
> 2) treat them as intelligent professionals who will of course be
> interested
> in hearing all the latest things from you.  You realize that they have
> to be
> generalists in the care of women, while you have the privilege of
> zeroing in
> on the breastfeeding and lactation literature, so you'll cover some of
> the
> best of the recent literature and save them the trouble of looking it
> up for
> themselves;
> 3) model research-based practice by discussing the practice
> implications of
> the new info you're bringing to them;
> 4) build credibility by telling them things they didn't know before,
> in a
> terrifically interesting and dynamic presentation!
>
> Some topics that I think are neat and would consider teaching in an OB
> (or
> pediatric) setting are:
> 1) the feedback inhibition of lactation (autocrine control);
> 2) the baby's role in determining mom's level of milk production;
> 3) the role of fat in influencing the baby's behavior at the breast,
> and thus
> the volume and fat content of milk produced;
> 4) CCK and other gut hormones; their influence on mom's and baby's
> behavior;
> 5) the psychologic and somatic effects of oxytocin;
> 6) oversupply and foremilk/hindmilk imbalance; prevention, diagnosis
> and
> treatment;
> 7) effect of mom's diet on baby's comfort and feeding behavior
> (garlic,
> alcohol, intake of milk products).
>
> These topics are all physiology-based, but I'll bet this is physiology
> that
> these docs and nurses never learned in school!  I favor this kind of
> topic
> because you are giving them the tools they need to solve breastfeeding
> questions themselves, not just a set of rules.
>
> One more thing.  I never met a breastfeeding advocate who wasn't
> capable of
> talking your ear off when she or he got a chance to hold forth.  (This
> statement includes me!)   We have to remember to exercise restraint.
> You
> want them to ask you back!  So leave 'em wanting more!  Pick about
> three
> topics to cover in one hour; cover them well, with visuals and models
> and
> hand-outs and whatever other wide-spectrum teaching aids you can come
> up
> with.  Leave time for questions.  If you get a good response, mention
> some
> other things you wish you'd had time to tell them, and see whether
> they ask
> you back.
>
> Good luck!     Chris