Marsha, you are right. I believe that in this political atmosphere, where
mothers need information that is written concisely, and clearly, without
advertisement or ulterior intent... especially with so many concerns about
the effect of advertising by companies, it is up to hospitals to create or
purchase materials. But why can't they or won't they  do this? Because
IBCLCs in hospitals usually have double the workload that they can handle
each day with just seeing patients, having been there. Also, it's faster
and checks the box off quicker to just get something, anything in that
pamphlet holder... No time to fuss about what it is or who wrote it or if
it is good, or an ad, or what. It's people, nurses, trying to do their jobs
well, and taking shortcuts due to time constraints, exhaustion, being run
off their feet.. or sometimes lack of desire to do it, but mostly not that.
I have been that hospital IBCLC running to finish up 15 patients in a
shift. I have been the home LC doing the work in the home and carrying
around copies of great lit , short and sweet, to help moms after I leave
them.

I have also been that RN IBCLC writing evidence based breastfeeding
information for a pump company, (for 15 years), before things changed as
they have, and I worked hard to be as honest, fair, unbiased, and clear in
my writing, using the best evidence I could find to back myself up,
fact-checking, clearing and editing the work  with some of the best LCS in
the business to produce the best handouts I could. This was a long time ago
now, and things have changed so much.  I am retired now. My main concern is
now my grandson Jim, 13 months, and my children's successes, and what wool
I will purchase to wash, spin, and then knit into lovely things for my
family, along with  building an aging in place house. Things have grown
more complicated in the world of lactation. We need to work harder than
ever to keep information on task, without ulterior motives/messages, or
payoffs, and short and sweet for tired,  tender mothers who can only read
one sheet with 10 bulletted points.

A gentle hand, a hug, confident help with latch,  and a few wordsof
encouragement, ....tucking  mom and baby safely into bed  for a nap, with a
snack nearby, and safe sleep guidelines and latch well  explained, and then
leaving baby well latched and suckling and mom resting is my best legacy.
Oh, and this list, I guess. too, can be part of my legacy. Love you all.
I'm still here and reading...Kathleen, listmother emeritus, and creator of
Lactnet, c1995 when my last baby was 2. She is now 23 and heading to med
school.

Kathleen B Bruce
​ RN IBCLC​, Vermont, USA
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