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Subject:
From:
Marianne Vanderveen-Kolkena <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 7 Feb 2008 21:53:24 +0100
Content-Type:
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----- Original Message ----- 
From: "Mary Kay Smith" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, February 07, 2008 5:46 PM
Subject: [LACTNET] Lansinoh brouhaha

**Hello Mary Kay,

>I appreciate all the heartfelt comments and am trying hard not to take
> them personally. I, for one, do not hold one person responsible for the
> actions of a company. My comment re: gina was meant as a reminder that
> we are all in this together. This exchange and thread is one of the
> reasons I have not been on Lactnet for several years. If the holier than
> thou, up on the high horse fact-correcting comments were sent to me
> personally I might feel differently. I have been an LC for 20 years,
> LLLL Leader for 26 years and an RN for less than 10 years. I've been
> active in ILCA for almost 20 years holding board positions and fully
> support the Code.  I have worked for Ameda and Whisper Wear, I did some
> consulting for Avent and trust me - I think I know plenty about the Code
> and the history of some of the companies we've been discussing.

**I do not know much about the intricate ways in which companies manage to 
combine efforts in order to increase their turnover, leaving the general 
public uninformed, because it is hard to keep track of all those changes. 
Even though I've read the Code many times, there are still many issues that 
I find hard to apply to daily practice or to judge when the question is 
posed: "Is this a violation or not?"
Of course, I know: that is how the Code was drawn up... ABM industry was 
part of the negociations! It often feels like labour lost, trying to raise a 
voice against all the practices that intend to get moms in the ABM-camp. 
That doesn't mean I think this is not a necessary thing to try and do. If 
only there were more hours in the day to get all the important things 
done... :-s
I found out that the Dutch lc-collegues as well, have different opinions on 
how important it is to fight the 'criminal' marketing practices. Just this 
afternoon, I got a mail from a collegue, telling me that Nestlé (yep, sorry, 
once again...) approaches child bed nurses (who very much work individually 
considering our home birth system), sends them ABM nr. 1 samples and asks 
them to sign a form that says they comply with the Code and are aware that 
samples should only be used when mom can't or doesn't want to 
breastfeed...!! An action was started (Thumbs up, Gonneke) to report this to 
the national authorities and I will look into it tomorrow and see what I can 
do to contribute and increase awareness concerning these practices in the 
provincial bf working committee that I'm a member of.

So, Mary Kay, the whole issue certainly is a difficult one. With all due 
respect... imo, the duration of someones career is not something that in 
itself guarantees that someone understands and applies things the right way. 
Your opinion may be worth just as much if you had been a dedicated LLLL for 
three or four years, or an LC for two. I mean, *everyones* opinion should be 
dealt with respectfully.
Dealing with issues respectfully, however, is *not* the same things as 
agreeing on everything or cutting of discussions as soon as they become 
'sturdy' or avoiding issues because someone might take offense on your 
comment, reagardless how hard to other one tried to write carefully. 
Understanding one another is often a matter of talking long and 'hard' in 
order to understand someones ideas and backgrounds and finding out how 
standards of practice are realized and the Code of Ethics can be abided by. 
I take it for granted that you agree with the Code, like you said. But just 
to clear me up (I'm not even an IBCLC yet, will be end of this Summer, 
hopefully, and have been a volunteer for 13 years): what is your opinion on 
how to deal with Code-violators? Do you think it is worthwile to boycot 
them? How to deal with violators that buy previously Code-compliant 
companies? How to deal with all this? Trust me, I'm not trying to be 
offensive; I'm just genuinely interested in how people among us deal with 
all this, how to divide time between the one (boycot) and the other issue 
(mother/child care), how to prevent ourselves from becoming acid, how to 
remain fresh and positive and still effectively fight unethical marketing 
practices?

Well, I hope you didn't unsubscribe yet and are able to read my post... ;o) 
Marriages, jobs, associations, friendships... often running away from them 
does not resolve the issues at all, just like giving formula does not 
resolve breastfeeding problems. It is fighting symptoms, not solving 
problems. I hope Lactnet is a place where we can work together to solve 
problems, because a problem it is, the ABM-industry...

Kindly,

Marianne Vanderveen, Netherlands

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