Thank you, Gonneke, for your statement and additional comments below. True,
Lisa, the issue is complicated.
I do like a reply, though, to the matter Gonneke clearly formulated: is
splitting breastfeeding from psychosocial, cultural and emotional aspects a
violation of the Code of Ethics and the Scope of Practice?
Please help us answering this difficult question; good care for young babies
is at stake here, because final introduction of the guideline would be a
disaster for young mothers and their babies. The guideline is still in
concept, but in use nevertheless (yes, I know, very reprehensible... :-s)
and already gathering serious and saddening results in newly born dyads.
I'm doing my utmost to prevent that implementation from happening (the
statement my collegue and I wrote caused the government institution to
reconsider the implementation...!), but really need to be able to make clear
that attachment is part of our profession and I'd prefer to base this on the
international documents, that *all* lc's have an obligation to abide by.
Thanks again, for your views.
Warmly,
Marianne Vanderveen
----- Original Message -----
From: "gonneke van veldhuizen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, September 21, 2008 9:57 AM
Subject: Re: [LACTNET] Scope of Practice & consequences
--- On Sat, 9/20/08, Lisa Marasco IBCLC <[log in to unmask]> wrote:
Marianne,
Are you saying that this group of LCs *agree* with policies that promote
crying it out and extending feeding intervals, or are you saying that they
don't like these things but believe that these things don't fall under
their
scope and therefore they shouldn't say anything?
IMHO, normal infant developmental issues are interwoven into breastfeeding.
We are not just breastfeeding mechanics, dealing with physical issues only.
In fact, if physical issues were our main problems, we'd be doing well!
But
it is the naïve behaviors and choices of mothers, parents, families and
professionals that lead to many of the problems we see. Therefore, I
believe that these issues do fall within our scope.
I suspect there is more context to this conflict than is evident here, so I
am only responding to what has been described.
~~~~~~~~~~~~~~~~~~~~~~
~Sure, more is going on. I know the group and the circumstances Marianne is
referring to, ofcourse
To clarify, it is this group that strongly vents the opinion that LC's
should restrict themselves to treating breastfeeding as infant feeding alone
and don't get involved into psychology, parenting, etc.
It very much is not Mariannes or my opinion.
The upcoming national guideline that should be prevented is really scary and
goes beyond breastfeeding as food alone. It is about promoting detached
parenting and totally parent-controlled infant care. Not as bad as Ezzo cs,
but going into that direction
I really, too, would like to know the opinion from our lactnet friends about
how denying psychology and parinting to be a part of LC work does comply
with the scope of practice. OR even the code of ethics.
Warmly,
Gonneke, IBCLC, LLLL in southern Netherlands, as IBCLC/LLLL since ever
convinced of the un-splittable connection between breastfeeding and
mothering
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