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Subject:
From:
Pamela Mazzella Di Bosco <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 28 Jul 2003 23:52:29 EDT
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Breastfeeding is impacted by birth.  In our area (hi Pam), induction at 38
weeks and epidural deliveries are so common that you are amazed when you hear a
mom actually carried to term and went into labor on her own.  At one hospital,
I was told pitocin is used in all deliveries with over 70% of the deliveries
being inductions, and the others being augmented.  Which goes back to what is
normal and common in terms of baby behavior.

However, I also think that the average ob is not overly concerned with
breastfeeding outcome and will most likely not see protecting breastfeeding as a
reason to protect birth.  I wonder if between the anesthesiologist needing to
make her/his quota and the ob trying to schedule her/his work day, they even
worry about breastfeeding.

If ob care was only being based on evidence and research babies would be born
in their own time (usually 40 weeks or more) with very few inductions or
c-sections.
Isn't there research about inductions at 38 weeks in general?  Inductions in
general? Doesn't ACOG frown on these "convenience" inductions?  I don't think
using breastfeeding as a reason to get them to stop will work, but maybe
something else will and breastfeeding can be the bonus.  Although, I am more likely
to think they already have the research that proves what they want to
believe. Or they choose to ignore any research that disagrees what with they prefer
from their experience. It is as Nikki Lee said:  "Yet they survive, and the
babies go home breathing and with a heartbeat. The medical system views this as
success, even though many of those babies can't suck or eat easily."

Best,
Pam MazzellaDiBosco, IBCLC

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