Good points, Winnie.
1. Documentation would be done, of course.
2. Complicated cases would be screened and referred to private
consultations with LC's.
3, Here in Israel, at least in my hospital, moms are used to group
setting since that is how I work with them. Some of the moms would be
referred by me just to have another few times to practice latch. Anyone
who wants private consultations will be referred to other LC's, or maybe
we would have that option in this clinic. Hopefully if it is financed
by some millionaire donor, fees would be minimal.
This is ONLY for moms who need work on latch.........not train wrecks,
breastfeeding rehab, or non-latching babies.
I have been in Chloe's clinic in Oxford, which is where this dream
started to form. It was wonderful, and I think that this was one of the
most interesting learning situations I have been in ( second only to
spending a day on house calls with Cathy Genna, which was amazing!!)
IN England, the visit is covered by the health system, but here we
would not have that possibility.
Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel
-----Original Message-----
From: Jim & Winnie Mading [mailto:[log in to unmask]]
Sent: Wednesday, March 24, 2004 6:38 PM
To: EDG; [log in to unmask]
Subject: Re: "Latch Clinics"
Initially, the idea of a Latch Clinic may sound ideal, but I can see
some real potential problems. Our department head saw the support
group as being this kind of a setting before it was initiated. A
problem right off the bat is that you need to be documenting what
you do/suggest with each mom/baby you see. This can be a real
challenge with several at once. It can turn out to be like doing
several simultaneous consultations! We would try to make a
distinction when telling moms about the services offered at the
hospital. Group is for mutual support and discussion and maybe a
"quick peek" at how baby is latching. More involved situations
warrant an outpatient consult rather than the group so the mom and
baby can be given the time and attention they really need. Also,
for privacy protection, a mom would need to know ahead of time that
she wouldn't getting a consult behind closed doors, but in the midst
of a group of other moms. Some would be comfortable with this and
others wouldn't. Still, some moms would come to the group needing a
lot of time and help. That meant either she had to wait or the rest
of the group was neglected! It did help to have 2 LCs at the group
meetings so one could guide the discussion while the other would
help individual moms. Also, moms would ask why pay for a consult
when they can get the help for free at group.
So, if you are seriously considering a "Latch Clinic" be sure to
look at all the ramifications and pitfalls as well as positives
before you take the plunge.
Winnie
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