In a message dated 6/29/2006 12:22:21 P.M. Central Daylight Time,
[log in to unmask] writes:
Problem: I have a patient with a 6 month old solely breastfed, she is now
pregnant again- she now knows BF is not a form of birth control- Problem is
baby will not take formula at all in any way shape or form. Baby is onsomon
some food and is healthy and well nourished.
I am confused. If the baby is solely breastfed, that means the baby is only
getting breastmilk. If the baby is on some foods, that means the baby is only
partially breastfed. The contraceptive benefits of breastfeeding is highest
if the baby is totally breastfed at the breast. If the baby is getting some
food, the contraceptive effects diminish. This is best explained to the mothers
early in their lactation experience. Even babies given pacifiers to sleep
may sleep longer periods and diminish the contraceptive effects of
breastfeeding. Contraceptive methods, including the effects of lactation on fertility
should be included in prenatal classes, by a professional in that field.
I noticed that you are not an IBCLC. You may want to bring one onto the team
working with your clients. That way, your clients are getting the benefits
of the nutritionist, counseling them on nutrition, and the lactation
consultant counseling them on breastfeeding management. If you are interested in
becoming an IBLC, the best way is to be working with one as your mentor. If your
supervisor is not interested in having an IBCLC on staff, it can be difficult
to provide all the services that your clients need, especially up to date and
accurate counseling. Also, you may need to check with your liability
insurance to make sure you are covered for providing lactation services.
Barbara Whitehead, BS, IBCLC, RLC
eastern NC
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