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Lactation Information and Discussion

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From:
"Sue Jacoby, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 3 Apr 2014 11:28:11 -0400
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Samantha,

While I understand your hope, that this might help minimize the use of formula, I feel pretty strongly that it would have the effect of creating a "doctor's order" for formula which would be much trickier to counter in your own discussions with the mother.  After all, you will not want to tell her do do anything that is against the doctor's instruction.

And as long as the doctor's suggestion for giving formula is verbal, and comes to your second hand, you have a window of opportunity to discuss other options that I would think would NOT be there if the doctor's (often casual) suggestions are made official, or, "in writing."   

In a perfect world, the doctor would indeed justify the suggestion for formula.  And that justification would be based on medical necessity.  But I really think asking for a "prescription" takes things in the wrong direction in this regard.  They can use reasons like:  "low milk supply."  Then the mother KNOWS, because the doctor SAID, that she has LOW MILK SUPPLY.  Another one is SLOW WEIGHT GAIN.  And yet the baby is gaining fine- just not at the pace of the overfed formula fed babies in his/her practice.  Who is the mother going to believe?  You, or the DOCTOR?  Is she NOT going to follow the "doctor's orders?"

Sue Jacoby
California, IBCLC

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