Yes, Denise, thank you - I do agree that in the hospital bottles should be
avoided, as you described.

Don't we wish that any baby that was still being fiddled around with by time
of DC would be referred to an LC for follow-up right away? I'm not talking
about the little ones that are clearly catching on but just not up to full
speed yet (no, I DON'T think everyone needs LC svcs!), but the ones that
really haven't got a clue.

How do we get this across to the nursing staff (who usually are the ones who
would know which babies haven't really got it yet)? I recently was called by
a client to come see her while still in hospital. This was the place where I
used to work, so I knew the nurses & stopped at the nsg station to chat.
They were obviously highly offended that this woman had "gone outside" and
called me; they made comments like "she could have just asked *us* for help"
and "I don't see any problem anyway". And I, thinking back on my years of
indentured service in that place, was thinking to myself, "boy, I wish more
women had called someone from 'outside' for help when I was here! I know I
sure couldn't be everything to everyone all the time when I was a nurse
here!" BUt obviously, to many staff nurses it's an issue of pride, or a turf
thing, or something like that.

Cathy Bargar RN IBCLC Ithaca NY

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