Pamela Poe writes:
I am wondering how long each of you spend on an initial visit...I spend
1.5 hours to 3 hours on average. Is there something wrong with my
approach...am I taking too long???
~~ My average is 1 1/2 to 2, but with some families I am there more like 2
1/2 to 3.
Hi Pamela,
I get background on this mom and baby, and any other babies mom had. I
watch everything from before baby wakes, to the breastfeeding attempts, to how
to supplement with an eye towards future breastfeeding skills, to how to
normalize/maintain milk supply, to norms and patterns of normal babies ( vs.
cultural expectations issues), the unique anatomy/physiology of the
nursing dyad she is part of, to how to use the pump ( or where to rent one),
and point out how to use it best for her. I watch a full pumping/expression
session, and talk about storage issues, kinds of AIM options if needed. I
refer if it seems needed as well, to ENTs, or CST, or mention what they might
be helping with if things don't change in time ( depending on what I've
observed and palpated). I leave when all moms immediate questions and
immediate concerns are answered, and she feels she understands what is
happening, and perhaps why things are currently so hard and how that might be
expected to change over time and a plan on how to get there.
I hope that's helpful.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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