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Subject:
From:
"Leanne Jewell, Rnc, Lcce, Facce" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 16 Jun 2006 22:09:35 EDT
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We spent a great deal of time developing what I like to call the Cliff  Notes 
of Breastfeeding for our staff and for our patients.  Information for  staff 
was on a bright yellow card. It was given to all nurses and Patient Care  
Techs and offered to the docs.  The patients get a purple card that goes  with our 
purple covered booklet with all kinds of info sheets from Infact,  Medela and 
other good resources....saved having 50 million loose  sheets. 
 
Docs never fully embraced the info but we will reissue them during WBW as  
part of our "Protecting Breastfeeding Project"  as a curve ball to giving  
correct same info to patients so they will have a chance to help protect the  
consistent information we give.  We know that one thing that irritates Moms  and 
Dads is everyone saying something different.  Though I try to soften  the idea 
of a strong this is the way attitude with saying "if you lived on a  block in 
an Italian neighborhood and there were 10 different homes there would  be at 
least 30 different recipes for sauce- the women who lived in the homes and  
those of their mothers and mothers-in-law."  Moms get it then because  sometimes 
you need to adjust to the needs of the baby or the Mom. I remind them  
sometimes you are really hungry and will eat two servings and other times its  just a 
snack, same goes for baby.  Sometimes they will eat both and others  they will 
fall asleep after one.  Time limits are really not offered other  than saying 
try to go for 20-30 minutes at least on one but that is really  driven by 
baby.  Now the kicker,
we hear docs telling the old fashioned start with 7 min, then 10 min  etc.  I 
had one nurse saying she liked what Dr. E tells so she decided to  use that.  
I reminded her that his information  is not  evidence  based and she needs to 
use our yellow card because it is evidence  based. Had to break out the sauce 
metaphor to help the patient to  rationalize all the different bits of 
information.  Told her to take her  lead from the baby, just like dancing. 
We even have a doc who tells the moms to feed 10 min each breast and give 1  
oz formula so the Moms don't call and wake him at night with crying baby  
stories. This one is the worse.
 
Tonite left the night shift with the NY Times article to read on their  
breaks so they can see how impacted women are by breastfeeding.  Can't  wait to see 
the backlash from that in the am.  As my darling daughter  says....we have 
got to quit tiptoeing around and tell it like it is...quit being  afraid to tell 
women what they need to hear and that includes the nurses who  care for them. 
 Out of the mouths of babes.
 
Well got hit the bed so I can face the hurricane babies of SFl.
Leanne Jewell RNC, IBCLC, LCCE, FACCE
 

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