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Subject:
From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 21 Sep 2002 00:10:47 +0000
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text/plain
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Every hospital program is different. I am the only LC and I
teach/demo/assist w/ bf on all bf pts each day I am there. When I am off,
the nurses do it. There is no FT LC nor 24 hr coverage, not even 7 day/wk
coverage. Other hospitals I am familiar w/ have a very high pt load and
higher bf rates and not enough LCs, and so the LCs prioritize and see only
pts w/ problems or challenges. It depends on many factors. In my opinion, I
think it should be that regular staff teach and help all bf moms as a VEY
ROUTINE part of their job. The LC is the consultant or specialist who sees
pts w/ special needs, which might include all nicu pts, multiples, etc. Some
LCs I talk to about this strongly disagree and say that the moms would not
get good help if they would not be seen by an LC. If regular staff
(including docs) were well trained ala 10 steps/baby friendly, this would
not be an issue and the LC could concentrate on the needy clients and
continue to do staff development training, program development such as f/u
programs and support groups etc. If you make it that the LC has to see all
pts, this gets to be very difficult when bf rates go up (as they usually do
once a good bf program gets going), and the staff gets very used to having
the LC do it all and so they don't really see bf as part of their agenda.
And so even in the delivery suite, the LC is called to 'latch the baby.'
ARRGGHH. I don't recommend this approach. IMHO

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA


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