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Subject:
From:
Pamela Mazzella Di Bosco <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 14 Feb 2006 15:39:58 EST
Content-Type:
text/plain
Parts/Attachments:
text/plain (62 lines)
 
Betsy makes an interesting point about patient responsibility and  
accountability.  I will whole heartedly embrace the concept when the day  comes that 
mothers can 'expect' normal and only have to be informed and have a  plan for 
interventions they choose to have or truly must have.  The idea  that the patient 
must do all the research, present the data, and then beg on  bended knee for 
the right to dare to have a normal experience is the reality,  and until that 
reality changes, I do not see it as patient responsibility, but  as the 
medical establishments responsibility to remember to first do no  harm. 
 
 A mother should not have to ask to not have her baby taken away, a  mother 
should not have to ask to be allowed to breastfeed. I find it  deplorable that 
a mother must have a written plan and request her baby not be  supplemented 
with artificial feeding.  It should be assumed breastfeeding  is the norm, as it 
is, and then the mother who wants to do otherwise must be  prepared to ask 
for the alternatives.  The problem with the entire system  of maternity care in 
the USA is no one has a clue what normal even looks like  and when a mother 
dares to ask for it she is ridiculed in the halls.  I  honestly feel that the 
mother who dares to educate, to come in with her birth  plan, who asks for what 
she wants is punished and the underlying maybe  unconscious goal is to prove 
she 'needs' everything she is trying to  avoid.  Of course, I realize this is 
not the case in every area, but I  assure you it is very much the case in my 
area and I have heard it discussed  more than once and in more than one hospital.
 
Until the data we use for studies uses the biological norms as their  
control, there is no way to say that interventions make no difference.  In  fact, 
after reading Impact of Birthing Practices on Breastfeeding, I am more  sure that 
much of what I work to help correct is often about the birth in  some ways 
more than others.
 
Best,
Pam MazzellaDiBosco, IBCLC, RLC who sees the hospital practices as a doula 
Birthing & Beyond, Inc.   
 
In a message dated 2/13/2006 2:50:50 P.M. Eastern Standard Time,  
[log in to unmask] writes:

I would  like to add that it is also=20=

each individual's responsibility to  make sure they are adequately informe=
d=20
and not expect the medical  profession to tell do all their work for them.=
=20
That is called  accountability and it goes both ways.
Betsy Riedel RNC,  IBCLC





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