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Subject:
From:
Helen Butler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 2 Dec 2009 22:29:44 -0000
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Judy
 The UK recommendation is   the safest thing is to share  the parents room 
for the first  6 months
Would she be interested in hearing this do you think?
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4123625

Helen
LLL England

From:    [log in to unmask]
Subject: sleeping and AAP recommendations

Hello all,

Another situation where mothers just don't get the info they need from
appropriate sources, or can't/won't hear it.
Mom with 2 month old who stopped breathing over the weekend while just
being held on parent's lap. Baby worked up in ER, no findings. I remind  her
that it's good baby is in bassinet in bedroom since baby's sleep best  and
most safely in sensory nearness to their moms.  Mom's plan after the  apnea
incident is to transition baby to crib alone in another room. I explain  she
might want to reconsider the timing of that since sleeping nearby is much
more likely to be safer, especially if baby stops breathing again. She
counters ( as she always does with everything I say, she once told me she 
couldn't
consider CST for her baby's feeding issues because a baby in Europe had
died going to an uncertified practitioner....) that it wouldn't matter 
because
 she isn't awake all night watching the baby anyway, so she still wouldn't
know  if the baby had stopped breathing. I say that whether awake or asleep,
their  bodies are talking and responding to each other, and just being
nearby makes it  less likely, but no nothing is guaranteed. She is concerned
that she will "never  get the baby to be independent" if she doesn't move 
her
soon. I tell her that  highest risk of SIDS is between 2 and 4 months, and
she sounds like she might  actually consider not moving the baby out so 
soon.
If I didn't know this mom,  having been working with her for weeks, I
wouldn't have pushed back as hard  with the countering and ongoing info, but 
I
thought, if something happens to  this baby, and no one told this mother 
that
she might have made a difference by  following the AAP recommendations (
which  have no real information  attached to them in terms of timeframe so 
moms
keep the baby nearby for a month  or two and then it's out they go, but
they're better than not having any at  all...)... well I felt I owed it to 
her.
We often disagree, and I do my best to  be respectful of her choices, but I
can't not tell her what she needs to know.  So far, she has not stopped
talking to me...:)
Thanks for letting me vent.

Peace,
Judy

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA


 

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