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Subject:
From:
Kathy Eng <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 4 Feb 2006 10:24:28 -0600
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Laurie brought up some good points about how we may only hear the 
mother's side of the story and not really know what the LC before us 
said. I would take this a step further and ask the mother to see her 
written care plan, etc. Ask the mother some questions about the other 
consult, did they do a test weight, how long did the other LC work with 
her (minutes? two hours?), what suggestions were made, did she get 
written information, etc. I also try to call the other LC and ask her 
what was suggested or happened with an open mind, a respectful attitude, 
and not being critical sounding. A good LC doesn't mind giving you this 
information -- it goes both ways -- she may be calling you one day to 
ask the same questions. Because whatever her findings were will 
influence how I help this mother. And if the consultation was done 
poorly and the LC seems to be low skilled, perhaps by talking to her and 
asking questions I can nudge her competence up a bit. Some LCs don't 
realize how important test weights and written care plans are, or don't 
recognize recessed chins or bad sucking. Other times, the LC before me 
did a great job and the problem is that the mother is not doing her part 
to solve the problem or improve things.  Calling the first LC is not 
always comfortable feeling and I know of a situation in another town 
where no one wants to call this one LC after they re-do her clients 
because she is so unpleasant. Yet mothers and babies are the ultimate 
losers.

Kathy Eng, BSW, IBCLC

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