/Thanks Melinda for posting.

Jeanette, I can see where you're coming from in this piece, but I still 
feel you WON'T get milk transfer at this very early stage. Surely this 
sets the new Mums up for a fall and therefore probably giving up??//
//
//Regards//
//Eva Hoebee//
/
On 12/21/2015 5:34 PM, Melinda wrote:
> Well said. Thank you, Jeanette
> Melinda Harris- Moulton
> Olympia Wa
>
> Sent from my iPad
>
>> On Dec 9, 2015, at 4:16 PM, Jeanette Panchula <[log in to unmask]> wrote:
>>
>> I sent this privately to Christine - and now feel the need to share with
>> others.
>>
>> JP
>>
>> Christine
>>
>> You are so right!  I also have had "growth" foisted on me with changes in
>> work situations and venues - the moms, babies and environment are so very
>> different - and if you have someone who has worked in hospitals for 20+
>> years, vs. someone coming in now from the community (as you and I did), then
>> you also have a difference in expectations.  Your employer's requirements
>> are also very different and we have to work in the situation we find
>> ourselves.  I worked in St. Louis just when epidurals were starting - and
>> clearly saw the differences in behavior of both the mothers and the babies.
>> Now many hospital staff rarely see mothers and babies who have not received
>> medical interventions of some sort.
>>
>> When giving presentations I acknowledge these differences, and encourage
>> each group (prenatal, L&D, Postpartum and community) to find a way to create
>> networks among themselves to share and learn, such as participating in
>> Breastfeeding Coalitions where case studies can be shared, ending up with
>> brainstorming on how to improve education for mothers, family members,
>> providers, etc.  These opportunities also allow us to see each other face to
>> face, and then makes it easier to call each other when we question what was
>> done and why.  Of course that question needs to be made in a "can you help
>> give me a background on this situation" not a "WHY did you..?
>>
>> As for the mom, I NEVER criticize what an LC or Nurse has done in the
>> hospital to the patient!  It does no good to the mother except add to her
>> stress, and does not change what she needs to do NOW.  If she asks me, I say
>> "I don't know what I would have done in that situation, as I wasn't there -
>> and you and your baby are totally different from the time she/he saw you.
>> Let's see what we can do now."
>>
>> .and the reality is, I DON'T know what I would have done right then and
>> there, at 2 am, or when MD said "get this kid fed" or when family is at the
>> door needing to take her home so they can go to work, etc..
>>
>> I truly believe we need "Rehabilitation centers" -equivalent for many moms
>> whose families are not near or able to provide support, and who need a day
>> or two more to recover from childbirth and to get to know their babies and
>> increase their confidence.  Discharge in the US is far too quick, we all
>> know they can't remember anything we said!  One day I heard 2 LCs talking
>> about a mom who had been discharged - and they saw her and her husband,
>> hours later, with him pushing her and the baby in a wheel chair around the
>> hospital.  She was refusing to go home!
>>
>> Maybe nipple shields would not be used as much if hospital staff KNEW there
>> was going to be someone evaluating and helping this mom and baby within the
>> next 12 -24 hours.but if they fear this is the ONLY opportunity to get this
>> baby latched, and after that they go into the "black hole" of care, where
>> neither Pediatric nor OB services will perform adequate lactation assessment
>> and appropriate interventions, they use whatever tool they feel will
>> accomplish milk transfer RIGHT NOW and provide referrals, but they really
>> rarely see "the rest of the story" thanks to the silos created by (at least
>> the US) the medical care system.
>>
>>
>>
>> Jeanette Panchula, BSW, RN, PHN, IBCLC
>>
>> Vacaville, CA
>>
>>
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