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Date: | Wed, 11 Apr 2007 08:21:19 EDT |
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Diana writes:
<<In terms of recommending/prescribing - I'm saying everyone should consider
how they discuss these things with moms. If you make a suggestion to the
*physician* and leave it up to the MD or midwife to do the actual
prescribing,
that is very different than instructing a woman to go to her pharmacy and buy
something, even if it is over the counter. I still maintain that it's
possible that
the latter situation could be construed as prescribing,>>
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According to my husband the pharmacist, that is NOT prescribing. I agree
that it is important that when we discuss various modalities with a mother, we
need to explain all the potential side effects of same, just as
pediatricians explain all the potential side and long term effects when they tell mothers
to stop breastfeeding and put the baby on formula for -- oh, any number of
reasons.
And as I said yesterday, where do you draw the line?
Frankly, I think the "many mothers have found...." line is hiding behind a
statement that is just as much "recommending" as anything else. Useful, but
you are still recommending. And do I recommend that a mom that has an
inflammatory process in her breast take ibuprophen instead tylenol because of the
anti-inflammatory process? You bet your boots I do. Do I ask her if she is
able to take it for other things, like a headache, or was it given to her in
the hospital? Yes, I do. And I explain why I am recommending it. Do I tell
her it is important to contact her HCP because they may choose to put her on
antibiotics. Yes, I do. But I also give her more recommendations than the
HCP generally will. And I also tell her to keep nursing her baby, hoping to
forestall the inevitable, "Stop nursing while you have this problem...."
Jan
_Lactation Education Consultants_
(http://www.lactationeducationconsultants.com/)
_My blog_ (http://www.motherofbridebyjan.blogspot.com/)
_Year of the MC_ (http://www.marriedcouplebytorrey.blogspot.com/)
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