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Subject:
From:
"Betsy Riedel,RNC,IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 30 Oct 2006 13:41:46 -0500
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We DO use our squat bar all the time, by the way and not just with 
midwifery patients,either!

About follow-up visits. All of our local (within the surrounding towns) 
pediatricians take some form of the state insurances (in addition to the 
private ones). Also, as I work with many clients after discharge (a large 
portion of them NOT having delivered at my facility)I encounter many many 
different pediatricians that I do not know personally. It always seems 
that for the most part, all new babies are being seen within the first 
couple of days after d/c. I am not in a big rich city either. I cover many 
of the towns around the greater Hartford, Connecticut area and that 
includes small and large hospitals as well as a variety of pediatricians.

So I guess what I am saying is that at least around here, we do not use 
health departments and most babies (on Medicaid or not) are seen by their 
pediatrician soon after discharge.

As far as the childbirth piece of this goes. I have been teaching hospital 
classes for years and have NEVER had a physican tell me what I could and 
could not teach. In fact, I have told all of them that they are welcome to 
sit in on any of my classes whenever they wish. We often have couples who 
take classes with us but are not birthing with us.  I can honestly say 
that philosophy wise, I wouldn't teach any differently if I taught private 
lessons in the home or out of the hospital. Advocating is advocating and 
couples need to have the ability to advocate for themselves. We can only 
do so much.

I have to say that the longer I am in nursing and c'birth education, the 
more I see that times have changed. Just because we all (collectively) 
think things should be one way, does not mean that the large portion of 
young people coming along today feel as we do. I have had to learn 
(whether it be labor or breastfeeding) to take a deep breath and a step 
back. People want different things these days and all we can do is present 
facts and options. After that, it is up to the couple to decide what they 
want and work with their HCP.

I am not into getting all bent out of shape about others' decisions. 

I will also continue to practice as I do regardless of what the IBLCE 
decides to do.I call physicians on a regular basis to collaborate and 
design a plan of care.



Betsy Riedel RNC, IBCLC
Connecticut

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