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From:
laurie wheeler <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 3 Sep 2000 18:39:12 GMT
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I agree baby is not acting normal. I have seen this when a family with baby
comes into my office. Before actually examining baby and counting resp etc
on the baby I just look at him and get a feeling that somehting is not
right. Once this turned out to be tracheomalasia. If the general ped says
all is ok, maybe send her to an ENT specialist. Or a pedi who is also
certified in neonatology.

Let me add that LCs do not need to be RNs, but they need the pertinent
training/education that the RN has gotten that would apply in their LC work.
I.E. they need to know normal/abnormal in both the maternal and infant
parameters. They need to know some of these healthcare problems (maternal
and infant) and how they manifest. If a baby comes to me due to bf problems
I always do a general "look over" exam when the baby is undressed to be
weighed. I usually do not do vital signs but sometimes do if I feel it is
needed. In fact, there is a part on my consult form that says "vital signs
if indicated." I MAY look in the mouth with a penlight (rule out thrush,
small cleft, etc) and I MAY even listen with a stethoscope to the chest or
abdomen (by far, this is a rare occurence). Since I have vast experience
with well and sick neonates I am good at this, but will admit I would
welcome more education and training in examining/palpating moms breasts. I
never really learned this from anyone, but I read ALOT and learn as much as
I can.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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