Cindy and Loni,
I recently visited, with my 2 mgrs, another hospital program to get ideas
about our own, really the rental/retail business my mgrs are looking into.
Here is one thing the LC there stated that at first goes against my grain
but somehow she really makes a good point:
Moms [parents] are responsible for their learning prenatally and postnatally
re bf. They should seek out learning opportunities and make the committment
to bf. The LC cannot make her learn or be committed. Also most moms do not
absorb much if anything in the early postpartum. So her philosophy as I
understood it is to ask "how is bf going" and if the mom says fine, even if
there are bottles all over the room, she leaves her card and the hosp bf
booklet saying here are some tips that will help you with bf or make bf
easier and lets it go. I asked what if there are bottles when you come in or
the baby was in nsy last nite when you get report, and she replied what does
that say about the moms' committment to bf? She does not assume, as I would,
that the mom just didn't have the info, rather she should have it and
decided not to act on it. If the mom wants baby to feed in the nsy she says
usually the nite nurse will say you know it's best to go ahead and breast
feed but that is as far as it goes. My mgr likes this approach as several
pts did not like when the LC gave info on problems that can occur with
supplements.
What do you all think? It will certainly free me up a bit to help the moms
who really ask for help and on the consults who want to come in.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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