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Subject:
From:
Sam Doak <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 3 Mar 2008 23:10:49 -0500
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 Interesting comment from the author:

<<

Heather,

I absolutely agree with you on both counts!

IN terms of the latter, the confusing part to most women and I spoke to reps
from IBLCE as well (the quotes, unfortunately, were cut for space) is that
IBLCE is not the only certifying institution and most moms don't know the
difference between board-certified and certified. A lot of hospitals cut
costs by not hiring certified IBLCE LCs, instead giving their nurses quickee
courses that get initials like CBE behind their names, and passing them off
as trained LCs.

No wonder 90% of moms intend to breastfeed, but only 50% are doing so a week
after childbirth.

Thanks again for writing.

All best,
Pamela Paul


--- Sam Doak <[log in to unmask]> wrote:

> This article disturbed me in a number of ways, but I'll pull two 
> thoughts together.
> 
> First, the situation with the doula was unprofessional. The doula 
> attends the birth as a support mechanism for the mother/parents. She 
> is not there to give advice or encourage mothers to disregard the 
> nurses or doctors.
> 
> The doula has the unique position of being an interested bystander. If 
> a nurse or doctor suggests something, it is within the scope of the 
> doula to give information regarding the procedure is being suggested. 
> The decision to consent to the procedure is up to the mother/parents. 
> The doula is to never insist upon anything.
> 
> Second, this paragraph is bothersome: Similarly, since 2003, the 
> number of lactation consultants certified by the International Board 
> of Lactation Consultant Examiners, which requires 2,500 hours of 
> practice and 45 hours of course work, has increased 15 percent to 
> nearly 9,000. But most consultants are not that well trained. Dozens 
> of groups offer certification after completion of one- to five-day 
> courses, and there are at least six different acronyms signifying 
> lactation credentials. How can a sleep-addled mother differentiate 
> among a C.L.E., a C.B.E. and a C.L.C.?
> 
> 
> As an IBCLC, I have accrued over 9,000 hours of practice, as well as 
> more than 50 hours of course work. I am proud to be an IBCLC - 
> International Board Certified Lactation Consultant. Perhaps some of 
> the IBCLC profession has attended a 1-5 day course on breastfeeding to 
> add to their education, but I can assure you that no IBCLC has earned 
> her certification based upon a weekend course. If a sleep-addled 
> mother needs to decide upon whom to trust for breastfeeding 
> information, all she needs to know is if the "lactation consultant" is 
> board-certified.
> 
> Choosing a lactation consultant is no different than choosing a 
> pediatrician or a plastic surgeon. When you are looking for a 
> specialist, you look for a board-certified practitioner.
> 
> Sincerely,
> Heather Doak
> 
> 

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