Jessica, Cathy and Colleagues,
Don't you find that one of the challenges during any assessment is to look
at ALL the factors - not just settle on the one obvious one. We try really
hard here in the hospital to make sure we do an excellent job of what we
used to call "management" (remember the first LC series info on poor milk
supply -- thank you Marsha Walker!!). It is a crime that there are still
moms who have poor milk supplies because of inadequate assessment and
teaching in the hospital. And the concomitant sore nipples, engoregement,
etc etc etc.
Heaven knows we're not perfect. But if there are any red flags ahead of time
it's a disservice to the mom not to address her issues and to really sit and
watch a feed, assessing baby's issues as well!
Dawn Kersula in Vermont
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