Natalie
What you said about "intervening" early makes good sense in the setting you
describe. Traci said her baby, born at home, *latched on briefly* after a
good birth and then slept x 16 hrs. Remember, baby DID take a feeding, even
if brief, and then slept next to mom and was offered breast and did lick
etc. So I think this is normal and fine. The cases that Natalie works with
I'm sure are very different than this. So I agree, for all the reasons
Natalie states (getting ebm in baby, avoiding formula, initiating milk
supply, avoiding wt loss, etc) that earlier "intervention" is indicated. I
think the word "intervention" sounds harsh but I take it to mean a step
taken to assist a client. I think Barbara Wilson-Clay said once that helping
with positioning by using a pillow or towel roll is also an intervention, so
we don't have to get scared when that word is used. Thanks, Natalie, for
sharing and you are right it is helpful to always think about these things
and since you have a very valid rationale for your actions, I would trust
your professional judgement. Keep up the good work. And remember my motto
(though I did not invent this phrase) - Live and Learn!

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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