Barbara Wilson-Clay and I just wrote to each other, and I'm sharing both posts:
> ----- Original Message -----
> From: <[log in to unmask]>
> To: <[log in to unmask]>
> Cc: <[log in to unmask]>
> Sent: Friday, December 14, 2001 11:05 AM
> Subject: calling moms
>
>
> > Barbara, I was totally in agreement with your statement:
>
> "My mantra has always been: I can't want the baby to breastfeed more than the mother does. People will sometimes
> call me and ask me to make a contact with a friend or relative, and I tell
> them it is my policy never to do so. The mother has to call me herself.
> That way I know for sure she wants my help and will probably be at least
> minimally receptive to it."
>
> ...until I had 2 experiences in the last 5 years:
1. I started working in Public Health and learning that it is often
necessary to teach women why they need to find something important
immunizations, seat belts, etc.) and make it as available as possible.
An example is in Puerto Rico, which has one of the highest immunization
rates in the US - but you go to Walgreen's or a supermarket during their
immunization campaigns and there is staff to immunize you! When I first
got there, there was no way I thought of getting my flu shot - but when I
went into Walgreen's and there was the staff and the materials and all I had
to do was stand in line and get it - well, I did...on a SATURDAY in the
PM!!
Subsequent years I got my shot in grocery stores and Wal-Mart. Never at
a doctor's office (which were hard to get into and took lots of time as
ALL were on a first-come first-served basis, not by appointment).
2. Participating in the UC Davis/WHO study, we made home visits to
gather data on normal - that is breastfed baby's - weight gain. However, when
we got there, most mothers (I think it was 85%) had real problems and
questions that needed answering. But they rarely would have thought of calling
for help that soon. They wanted to breastfeed (or they would not have been
part of the study), but didn't have the psychological/physical/emotional
strength to call for help. They probably would have - at 7 - 10 days when the
problems would have been much more difficult to resolve.
For this reason I have made it my "calling" to create a program that at
least contact moms and offers assistance and home visits if they would
like.
I do not believe in "selling" breastfeeding at 3 days postpartum - that
is something that needs to be done prior to delivery - but I do offer
information and resources - then ask the moms if they would like a call
back, and they usually are very grateful and say yes... (I'm attaching
a guideline we use for what we call the Babies First program telephone
calls...)
HOWEVER I get paid for my time as an employee of the health department -
I don't think LCs should be offering their services and calls for free....
Jeanette Panchula, BSW, RN, PHN, IBCLC
Tel: 707-421-6660
Lactation Consultant, CPSP Consultation Team
Fax: 707-438-2500
Solano County Department of Health and Social Services
1735 Enterprise Drive. Building 3
PO Box 4090, MS 3-110
Fairfield, CA 94533-4090
> -----Original Message-----
> From: Barbara Wilson-Clay [SMTP:[log in to unmask]]
> Sent: Friday, December 14, 2001 9:17 AM
> To: [log in to unmask]
> Subject: Re: calling moms
>
> Hi,
> I am in total agreement with your post. I guess I should have made it
> clear
> that as a priv. pract. LC it is not for me to call and try to talk people
> into an appt. because that is soliciting business. Those who are in the
> public health sector and the hospt. nurse whose job it is to make a
> routine
> call are of course doing so for purposes of education and screening. So
> that role requires a contact be made. Your comments are a good reminder
> to
> me that we all work in somewhat diff. settings and have to base our
> protocols on those job descriptions. I still think that a volunteer ph.
> counselor should not be making call after call to a mother who is giving
> signals that she finds the calls intrusive. At some point, the mother has
> to indicate she is willing to accept help.
>
> You might want to send your post to me and my response to Lactnet as it
> does
> tend to clarify a muddy point.
> B.
>
> Barbara Wilson-Clay BSEd, IBCLC
> Austin Lactation Associates
> http://www.lactnews.com
> >
> >
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