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Subject:
From:
Jennifer tieman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 21 Nov 2002 21:41:56 -0500
Content-Type:
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I hope someone will be able to help me advocate for one of my patient's
going through a divorce currently.  I have mom's permission to post this
here, and told her I would be asking for advice.
Mom is currently in early stages of divorce, is exclusively breastfeeding a
9 week old infant and has 2 older children.  She nursed the first two, but
weaned within a few months and supplemented from the start due to a terrible
time with inverted nipples and poor latch.  This baby is doing great,
though.  Dad left the family when mom was 34 weeks pregnant with #3.  Dad
has so far had very little voluntary visitation, usually for just a few
minutes, and only if mom pursued him (she did this in the beginning, and is
no longer actively inviting him over, etc.)  He has not paid any child
support, which is in violation of his court order.  He is seeking prolonged
visits (wants baby and older kids for 3 days over Thanksgiving and Christmas
both) and wants all the kids every weekend.  Dad currently works full-time,
and has no weekends off, so kids would mostly be watched by his parents.
Mom is going back to work this week, currently works full-time and has every
weekend off.  She has offered for him to have kids on his days off (which
would be rotating weekdays), but he has refused citing the fact that the
oldest is in kindergarten and he currently has moved to a different town
(well within driving distance.)
Her lawyer has told her he cannot protect her breastfeeding relationship in
the least, and that she will have to go along with extended visits.  Mom
wants to have the baby on her days off, and doesn't want overnights at all
at this point as baby is still very young and exclusively breastfed.
Is there any way I can help her as her physician, by writing and documenting
the importance of breastfeeding, and the unfeasibility of maintaining a
supply if she is not allowed contact with the baby on her days off, and with
extended visits?
Can anyone give me any pointers on how to write a letter (if such a thing
would be helpful) and maybe what, if anything to avoid talking about?
Thanks for your help in advance.
Jennifer Tieman, MD
Family Physician
Mom to 3, and new baby #4 expected 5/31/03

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