Barbara said:
"Bravo, Chris. I really like the frame work you offer presenting the LC's
skills as similar to the midwife's skills in managing labor. Care is
supposed to be individuated because we work with individuals. There is no
"one size fits all" to breastfeeding support."
Thanks for bringing this up, Barbara. In lectures, I have a slide of a
gift, wrapped up and not immediately transparent.....Each mother, to me, is
a gift with some unknown items inside,...such as feelings, prior
experiences, and belief systems. I have no way of knowing what those are
before I work with a mom. What works for one mom will not work at all well
for another...because her composite beliefs are different, along with her
experience and goals. Creative assessment and planning are necessary to
meet each mother's needs.
In IBCLC prep, I believe that we need to have an active clinical
component which teaches new IBCLC to be's how to do the clinical hands-on
work, if there is hands-on work needed, and how to tailor and hone one's
consulting techniques to fit the needs of the client. Mentoring meets this
need, but then there is an issue of how to provide this, and compensate
the mentor for the work done, since it is more work to teach while
consulting than it is to solely consult. To train and prepare someone to
be a lactation consultant who can handle a wide variety of complex clinical
situations takes a long time, and cannot be done in a quick way.
"The words "always" and "never" are not useful when considering strategic
interventions. Barbara Wilson-Clay BSEd, IBCLC "
Barb, again, this is so true. Specific clinical judgement is needed in
each situation. When one gets into absolutes, there are always exceptions,
and our credibility is challenged.
I also caution people against painting with a "broad brush," ie using
terms like "RN IBCLC " types. The word type implies that there is a broad
problem, when in fact, there are problems with many professional groups in
select individuals. We need to watch our language!
Kind regards, Kathleen
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
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