Regarding the CDC podcast posted to LACTNET: http://www.cbc.ca/whitecoat/
These unfortunate situations concerning the infant risks of breastfeeding
failure give evidence of the need for IBCLCs to provide care for all mothers
and babies. It is not enough to give the breastfeeding promotion messages.
We must follow through in public health systems and health care systems that
assure appropriate lactation support. I think that any good IBCLC would have
advised supplementation, rule #1 is to feed the baby, while fixing the milk
supply and any other problems. If the problems could not be fixed, as in the
case of insufficient lactation due to breast reduction, then the baby would
continue to be supplemented throughout the course of breastfeeding.
This is the goal for which all IBCLCs must strive. It is important to
advocate for system and policy changes that make our services available to
all families in a timely manner.
We must educate the families, the public, our co-workers, other health care
providers, insurers, public health authorities and employers about
difference in the type of care that only IBCLCs can provide, use your
Clinical Competencies to show them if that is what is needed. Even
physicians, nurses, midwives and other health care providers who work in
maternal /child health do not normally possess the training, skills,
knowledge and attitudes necessary for supporting lactation when these kinds
of difficulties occur.
Judy
Judith L. Gutowski, BA, IBCLC, RLC
135 McGrath Lane
P Box 1
Hannastown, PA 15635-0001
Cell Phone 724-331-6607
Fax 724-837-0129
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