Hi there,

I could use some help here.  I work with a pediatrician who lets just say is 
not "breastfeeding friendly".  She says that the AAP position on sidelying 
causes babies to choke and get ear infections...ie no cosleeping.  I want to 
give her information on this but I have looked all over the AAP website and 
can't find anything to fit this situation precisely.  I always encourage moms 
and babes to sidely in the early hours and days and let baby led latching 
happen.  I guess she disagrees w/me and later tells parents not to practice 
this type of nursing position because of my statement previously.
I don't want to alienate this MD, because  I work with them and I see lots of 
this MD's pts.  I also hear from others that (MD) gets upset when the parents 
seem to listen to us (LC's) about such things as tongue ties, supplementing at 
the breast when it is ordered and not using a bottle.  I don't want to be at 
odds w/this Pediatrician but I need evidenced based research about the ear 
infection issue.  I know all about the anti-infection properties in breastmilk, 
but I need some study specific to this.  It makes for a tense work 
environment.  Can anyone give me some articles, especially if it comes from 
the AAP.  I feel like my hands are tied.  I find tongue ties, yet she thinks it is 
out of my scope of practice to talk to the parents about this.  Yes, I've 
shown her the IBCLC's scope and had meetings w/said ped and my nurse 
manager.
I believe in mutual respect, and I am trying very hard not to be direspectful, 
or over-ride the chain of command.

           help,
frustrated in California
robin

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