Beloved Listmembers,
Recently met with a mom with multiple risk factors for
BFing failure.  To wit: history of breast reduction
with free nipple grafting.  History of hormone-related
infertility.  Hypertensive during pregnancy.
Unplanned Cesarian birth (lots o' fluids).  Going back
to work full-time in eight weeks (active duty
military).

This mom also had some real positives on her side.
Breast surgery was 10 years ago, and she had clearly
done some reading and research on BFAR.  The best part
was plenty of *colostrum*, easily expressed, at under
24 hours post birth!  Yay!  During our consultation, I
made it a point to both emphasize these very real
positives and explain that it was too early to tell
whether supplements of AIM would be needed or not.

Per mother's request we went on to talk about pumps.
She had purchased an Evenflo.  Perhaps my face
betrayed my feelings at this point, I don't know.  We
discussed the inefficiency of the small motor; I tried
to frame the information by explaining simply that, in
her case, a different quality pump would most likely
be necessary to maintain a milk supply, particularly
in light of her returning to full-time work shortly.
I referred her to our boutique, and to the CLE's on
staff, who know the pump inventory well, told her they
would be happy to discuss types, price ranges, etc.
(No financial ties here, we just have a knowledgeable
staff whom I trust.) The feelings of discomfort in the
room were palpable at this point, and I had to
overcome a strong desire to FLEE...it was pretty clear
the mom had made up her mind about her pump and did
not want to hear any more about it.  In fact, a couple
hours later, a message was conveyed to me, via the
postpartum nurse, that the mother wished to see a
*different LC* the next day.

Oh well!  Sometimes it is tough to be the bearer of
bad news!  Comes with the territory...it's just
frustrating because I doubt a small pump like the
Evenflo is going to do a good job.  I also hate to see
breastfeeding threatened by poor quality products,
made by companies who also conveniently manufacture
artificial nipples and other AIM feeding supplies.
Grrr.

Carole Jernigan


__________________________________
Do you Yahoo!?
Yahoo! Calendar - Free online calendar with sync to Outlook(TM).
http://calendar.yahoo.com

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html