Dear Friends:
    There are many different approaches for dealing with a situation where
the mother thinks all is well, and the lactation professional can see that it
isn't.
    What about saying something like, "I am glad you are nursing your baby. I
see that your nipples are red when your baby comes off the breast, and I see
from my scale that your baby is not gaining the 1/2 to 1 ounce per day that
doctors like to see at this age. I am concerned about this, because in my
experience red nipples can lead to problems in a few days. What do you think?"
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
Maternal-Child Adjunct Faculty Union Institute and University
Film Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html