Hi Magda! I'd like to try to answer your sincere questions in terms of these
issues. Conducting a consult on ebay is considered unethical because our
consults consist of an actual assessment of mom's breasts and baby's latch which
is not possible to perform over ebay. One cannot adequately assess a breast
or a latch without visually seeing it.
The sale of products and remedies can be incorporated into a lactation
practice ethically depending on the actual conduct of the individual consultant.
One would be deemed unethical if she pushed the sale of a breastpump onto all of
her clients. However, if an LC has breastpumps available for purchase as a
part of her practice, she can practice ethically by instructing moms on the
proper use of the pump, which ultimately preserves the breastfeeding experience
for a mom/baby couplet. Yes, for many LCs in private practice, the sale/rental
of pumps are a part of our livelihood. But, it is not absolutely unethical
to provide products related to breastfeeding.
Now, here's my most recent scenario as an example. I go to a home of a mom
with a low supply on Saturday (2 days ago) to conduct a consult and I don't
bring my More Milk Plus with me. I usually don't bring the herbs with me because
I don't prioritize the sale of the items as my first goal. My first goal is
to conduct an assessment of the problem, and to assist with a proper latch,
measurement of volume of intake at the breast, and then the development of a
plan of care towards the mother's goals. Upon my consult, a low supply was
proven by the transfer of 4 cc's at breast and drops of milk expressed via electric
breastpump. Thus, I gave literature on Reglan, Domperidone, and Fenugreek.
Fenugreek was recommended by the referring LC to get mom through the weekend
until she could call the OB for the prescription meds. I reiterated to her to
get the Fenugreek.
Well, 2 days later, today (Monday), I returned to the house and indeed mom
didn't get the Fenugreek. I offered her the More Milk Plus that I'd carried
along today in case she hadn't gotten any herbs. She was very grateful that I
had the herb with me for her to purchase, and I'm not getting rich fast on
selling a little bottle of herb. Now, if I'd had the More Milk Plus with me on
Saturday, wouldn't it have behooved this mom to have started the herbs 2 days
ago? This is an example of a mom who says she's going to get the herb and
doesn't get it. It happens all of the time. I think most of us are just trying to
help moms and we have products we provide to facilitate this process.
Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
St. Charles, IL
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