I wrote about this two years ago. At the hospital I am
at, we have a lactation educator. She has no
professional background in OB or lactation. She has
taken the 5 day course to become CLC. She functions as
a lactation consultant. She does phone consulting and
outpatient assessments and consulting. I feel this is
scary. I am afraid at some point the hospital will be
held accountable. There are three IBCLC's on staff
which function as staff nurses. I hope we won't be
held accountable for any of her actions.Sometimes, her
teaching is off base.
I just sit back and do my best
Barbara Arthur RNC,IBCLC
--- Automatic digest processor
<[log in to unmask]> wrote:
> There are 14 messages totalling 370 lines in this
> issue.
>
> Topics in this special issue:
>
> 1. What's a....
> 2. pump choices and studies
> 3. probiotics, where can kids get them?
> 4. infected eczema
> 5. re chylothorax
> 6. "Lesser" Qualifications
> 7. breastmilk in the limelight
> 8. See ya in a week
> 9. pump data in peer reviewed journal
> 10. CLE clarification
> 11. LACTNET Digest - 2 Jun 2001 - Special issue
> (#2001-338)
> 12. hypothyroidism
> 13. certifications
> 14. Feeding game
>
> Lactnet Archives are at:
> LACTNET Archives
> http://peach.ease.lsoft.com/archives/lactnet.html
> To Manage your Subscription, ie go nomail, index,
> etc, go to:
> http://peach.ease.lsoft.com/archives/lactnet.html
>
> Thanks- Kathleen Bruce, Kathleen Auerbach, Kathy
> Koch,
> Melissa Vickers, Karen Zeretzke, LACTNET
> Facilitators
>
> Questions to [log in to unmask]
>
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----------------------------------------------------------------------
>
> Date: Mon, 11 Jun 2001 07:44:38 -0400
> From: Pat Young <[log in to unmask]>
> Subject: Re: What's a....
>
> Possibly/probably to dry expressed mother's milk and
> make a powder to add to
> EBM for feeding, to boost it like the fortifier they
> use derived from cow's
> milk. But of course better because it's EBM!
> Sincerely, Pat in SNJ
>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 07:46:23 -0400
> From: Pat Young <[log in to unmask]>
> Subject: Re: pump choices and studies
>
> I don't think I'm being too cynical to say that ANY
> study sponsored by the
> manufacturer is suspect to a certain degree.
> Sincerely, Pat in SNJ
>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 13:55:56 +0200
> From: Rachel Myr <[log in to unmask]>
> Subject: probiotics, where can kids get them?
>
> Last week's British Medical Journal has an article
> on this. Some of the
> rapid responses are from Lactnuts. Go read.
> Betsy Grenevitch, let me know if you don't get this
> sent to you.
> Full text of the article:
> http://bmj.com/cgi/content/full/322/7298/1327
> Rapid responses may be seen by clicking on the menu
> choice for it on the
> article page.
> Rachel Myr, Kristiansand, Norway
>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 22:23:58 +1000
> From: Amir family <[log in to unmask]>
> Subject: infected eczema
>
> In response to the question about the baby's
> ingestion of pus from the
> infected eczema on the mother's breast, this is no
> problem for the baby.
> Many babies would have ingested pus while
> breastfeeding when the mother has
> an abscess which is draining into a duct without
> ill-effect.
> However, it is more appropriate to treat the
> infection with a topical
> antibiotic like mupirocin (Bactroban) as well as
> treating the eczema with a
> steroid (like Diprosone ointment). It usually clears
> up in a couple of days.
> See: Amir LH. Eczema of the nipple and breast: a
> case report. Journal of
> Human Lactation 1993; 9: 173-175.
> Lisa Amir
> MBBS, MMed, IBCLC in Melbourne, Australia
>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 08:53:04 -0400
> From: Deborah S-Q <[log in to unmask]>
> Subject: re chylothorax
>
> Thanks to Kathleen & Jack for their prompt replies
> to this mom's problem.
> What a wonderful feeling to have access to answers
> for someone in need. I am
> sure she will appreciate it.
> Deborah Sowery-Quinn
> Ontario, Canada
>
_________________________________________________________________________
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>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 09:06:15 -0400
> From: "Beth E. Johnson" <[log in to unmask]>
> Subject: "Lesser" Qualifications
>
> It was asked what the purpose of certification
> program which do not
> confer the IBCLC are.
>
> Well, not everyone needs to see an IBCLC. It's sort
> of like having an
> obstetrician for a normal pregnancy. I help out a
> lot of moms that are
> just dealing with issues like minor latch problems,
> oversupply and too
> much switching, questions about returning to work
> and pumping, providing
> information sources about drug compatibility, sore
> nipples, atrocious
> advice from PCPs that they ask me about because it
> doesn't sit right
> with them. I give out a lot of just plain moral
> support that's hard for
> an IBCLC to provide during her more limited time
> with the client.
>
> I also think these programs are wonderful for ob and
> peds nurses. The
> key is having a good understanding on what you can
> and can't cope with.
> I have had a few moms that I was limited in my
> ability to help and I
> referred them on to our LC. I wouldn't try to help
> a family with a
> serious problem and these families are already
> working with the LC
> anyway. To say that I would need to sit the exam to
> provide these
> services is a little over the top. I don't think
> this is what was
> exactly being said, but I just had to respond.
>
> regards,
> Beth
> --
> Beth Johnson
> Perinatal Educator, Doula
> Springfield, MA USA
>
> "Breastmilk: anything else is less."
>
> ------------------------------
>
> Date: Mon, 11 Jun 2001 15:38:44 +0200
> From: Rachel Myr <[log in to unmask]>
> Subject: breastmilk in the limelight
>
> Kristiansand, Norway: In case anyone wants a break
> from discussing
> credentials and their various merits, try this for
> light relief. From
> Saturday's paper 'Dagsavisen', in an interview with
> a 39 year old female
> talk show host named Dorthe Skappel.
> What can you use your womanliness for? Skappel
> laughs, and takes 5-6
> seconds to come up with a suitable answer. 'No, I
> don't know. I'm proud to
> be a woman. I don't know that I use my womanliness
> for much of anything,
>
=== message truncated ===
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