Jaye writes:
Who really tried hard to stay professional with that comment...I succeeded -
but barely. Hard not to laugh out loud sometimes...
I have a standard response for those situations: "Gee, I haven't heard of a
mom being told (fill in the blank) recently. There are many lactation
experts who would not agree with that. Would you like to hear some other
information that is based on research?" I have found that many moms, or even
students in my childbirth classes, seem receptive to that approach.
I find it really frustrating on my VNA MCH visits to have to be the sixth
(or whatever number) nurse who has a different suggestion or teaching approach
for a mom who is struggling with a particular problem, usually, but not
always, injured nipples due to poor latch/positioning. After acknowledging and
validating their feelings, at least I can say that I am an IBCLC who has had
the benefit of the most recent training and research, so I hope that my
information will be helpful. One must tread lightly so as not to appear to be
"dissing" the staff nurses.
I also ask the moms to consider the option of remarking in the "patient
satisfaction survey" which they will receive, that they got conflicting
information from the hospital nurses. I tell them that this might help future moms to
get effective and up-to date information and instruction. Since I don't
usually have sustained contact with these moms, I don't know how many of them
actually do put their feelings into written word. I am trying to keep a log,
but it seems that there are so many women experiencing breastfeeding
difficulties when they leave the hospital, that it is the rare woman who is not having
some issue. I do not meet with the hospital nurses on any formal basis, but
I do try to let the Special Care Nursery nurse who is the official IBCLC for
the hospital know what I am encountering in the home.
Mary-Jane Sackett, RN, BSN, IBCLC, CCE, CD(DONA)
Registered Lactation Consultant, Certified Childbirth Educator and Doula
Maternal Child Health Visiting Nurse
Pittsfield, MA
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