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Lactation Information and Discussion <[log in to unmask]>
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Mon, 18 May 1998 21:16:15 EDT
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Mira ( and all):
I have spent the last 15 years trying to figure out the "best" way to teach my
fellow neonatologists, pediatricians and OB-Gyns.  I have found that family
practice MDs are usually more informed when it comes to breastfeeding.
Some points to consider:
1. Hold a conference re breastfeeding and only the supportive and already
interested will come.  (The others don't know what they don't know.)  Try
adding BFing into in small bites (10-15min) into MANDATORY medical staff
meetings, or grand rounds.
2.  Use the recent (Dec 1997) AAP Guidelines to the fullest.  It is
painstakingly researched and, although less agressive than I would like, still
a giant leap forward.
3.  Make yourself known and available as a breastfeeding expert.  Build up
raport so that they call you (NOT the pharmacist) for drugs and BFing info,
etc.  I always return MD phone calls immediately, and have references faxed to
them ASAP.  It takes time and effort, but the families are worth it.
4.  Have copies (already underlined or marked) of certain key articles around
to hand to other MDs on commom topics (eg BFing and jaundice, mastitis,
hypoglycemia).
5. Have patience - some of the old guard will simply have to die out !
(6.  Invite "experts" - ie. someone from someplace else - to say the same
things.  MDs sometimes will listen better.  Start with the Academy of
Breastfeeding Medicine roster or MDs on Lactnet.)
Good luck.
Nancy Wight MD, FAAP, IBCLC
Neonatologist

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