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Date: | Fri, 16 Jun 2006 22:09:35 EDT |
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We spent a great deal of time developing what I like to call the Cliff Notes
of Breastfeeding for our staff and for our patients. Information for staff
was on a bright yellow card. It was given to all nurses and Patient Care
Techs and offered to the docs. The patients get a purple card that goes with our
purple covered booklet with all kinds of info sheets from Infact, Medela and
other good resources....saved having 50 million loose sheets.
Docs never fully embraced the info but we will reissue them during WBW as
part of our "Protecting Breastfeeding Project" as a curve ball to giving
correct same info to patients so they will have a chance to help protect the
consistent information we give. We know that one thing that irritates Moms and
Dads is everyone saying something different. Though I try to soften the idea
of a strong this is the way attitude with saying "if you lived on a block in
an Italian neighborhood and there were 10 different homes there would be at
least 30 different recipes for sauce- the women who lived in the homes and
those of their mothers and mothers-in-law." Moms get it then because sometimes
you need to adjust to the needs of the baby or the Mom. I remind them
sometimes you are really hungry and will eat two servings and other times its just a
snack, same goes for baby. Sometimes they will eat both and others they will
fall asleep after one. Time limits are really not offered other than saying
try to go for 20-30 minutes at least on one but that is really driven by
baby. Now the kicker,
we hear docs telling the old fashioned start with 7 min, then 10 min etc. I
had one nurse saying she liked what Dr. E tells so she decided to use that.
I reminded her that his information is not evidence based and she needs to
use our yellow card because it is evidence based. Had to break out the sauce
metaphor to help the patient to rationalize all the different bits of
information. Told her to take her lead from the baby, just like dancing.
We even have a doc who tells the moms to feed 10 min each breast and give 1
oz formula so the Moms don't call and wake him at night with crying baby
stories. This one is the worse.
Tonite left the night shift with the NY Times article to read on their
breaks so they can see how impacted women are by breastfeeding. Can't wait to see
the backlash from that in the am. As my darling daughter says....we have
got to quit tiptoeing around and tell it like it is...quit being afraid to tell
women what they need to hear and that includes the nurses who care for them.
Out of the mouths of babes.
Well got hit the bed so I can face the hurricane babies of SFl.
Leanne Jewell RNC, IBCLC, LCCE, FACCE
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