In a message dated 11.15.04 1:37:48 PM, jennifer writes:


> I think you misunderstand my point.  I'm not walking any fence in my
> practice.  It's just that it's not enough to say to a mom "You should
> breastfeed" and then feel guilty when they don't. 
> 
No, I do know what you are saying. It IS crucial to acknowledge the myriad 
factors influencing breastfeeding.
 I am sorry, I didn't convey very well what I was trying to say :). The *you* 
in my statement was not meant   to single YOU out-everyone on lactnet knows 
that you're the *best*. *You* was meant to apply to pedi HCPs in general-are 
there any out there that have changed their culture in the way of BMC? *Perhaps* 
that could make a difference?

>>L ynn Shea said:  "Of course it is hard.   Obviously I 'hear' what your
saying   but I'm sure that is what Bobbie Phillips and Anne Merewood felt
when they initiated the changes in the breastfeeding climate at Boston
Medical Center . However, These changes are the only thing that can explain
their huge increase in breastfeeding with the same population that you
describe. Breastfeeding became the *norm* at that hospital. I know that
pedi HCPs are worried about alienating patients but until *you do what they
do* (at BMC) and create a climate that shouts "we promote breastfeeding
here!" and not "we try to walk the fence " (and yes that ould include
posters etc!~) can you truly know how much of a factor you are"<<

Lynn Shea Rn,Bsn,Ibclc
formerly   Franklin,Ma.....now Lakewood Ranch, Fl



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