Felicia writes, "  She may be telling you everyone says everything is fine so that she can feel she is doing exactly what she should be doing and that she doesn’t have to change – not that you aren’t doing what you should."



It is precisely for this reason that I believe obtaining written permission to send reports and have discussions with the mother's other health care providers is so important.  Collaboration is such an vital part of how we practice. I have seen several situations similar to Liane's over the years after they have been hospitalized. After numerous lab tests they were all found to be severely underfed. I cannot imagine how difficult it must be to try to help a mother in this situation via e-mail especially without any input from others who are seeing the baby. Yikes!



Holly McSpadden IBCLC

Sent from my Verizon Wireless BlackBerry



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