As you already know. A protocol like this is total CRAP. Even with general
anesthesia there is no need for pumping and dumping. What about routine
epidurals in labor? What about IV narcotic use in labor and early
postpartum? Don't those medications get into mother's milk?
I applaud you for wanting to make a difference her and thinking about
writing a letter. Humbly I assert that writing a letter will make any
difference though. Instead please think about meeting in person. The
face-to-face conversation will likely make a better impression. It will
personalize the need for a change.
I would hope evidence supporting the change would be a lightbulb of sorts.
Unfortunately by and large practice and protocols are based on personal
style, comfort, and defensive medicine versus evidence.
Blessings in your efforts.
Desirre
Desirre Andrews, CCCE, LCCE, CLD, CLE
Preparing For Birth, LLC - www.prepforbirth.com
Secretary - Pikes Peak Regional Doula Assoc. - www.csdoulas.com
President ICAN - www.ican-online.org
CAPPA Faculty - www.cappa.net
On Sun, Jul 26, 2009 at 10:46, Vanderstoep, Doreen <[log in to unmask]>wrote:
> Hello all:
>
> Our hospital's anesthesiology department has a current practise of
> telling all moms who have had surgical anesthesia that they must pump
> and discard their milk for 24 hours, no exeptions. (other than post-op
> C/S). They are apparently aware that there is evidence that this is not
> necessary, but will continue to recommend it anyway. I would like to
> write a letter to try to change this practise. I have all the evidence,
> articles I need, (including information from Jack Newman and Tom Hale),
> but am having difficulty putting it together in a letter. Has anyone
> dealt with this issue, and written a letter that was well received and
> resulted in a change of practise? Would you be willing to share your
> letter?
>
> Thanks in advance, Doreen Vanderstoep, RN, IBCLC
>
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