Hello today is  an ideal day in SFl.  Going up to 74...should have been on 
way to NY but spouse needs cardiac cath on Monday, with bad weather coming up 
there glad we are here....no shoveling.
This note is in response to Susan Burger who said that IBCLC or Lactation 
Consultants are viewed like personal trainers....too true.  We have one daughter 
who is pregnant and her office coworkers are telling her you need to register 
for Childbirth Classes...her response, "my mom teaches remember?",  then it 
was well you need to get a Lactation Consultant....response: "my mom is a 
lactation consultant".  Oh and you need a doula...response: "hey do any of you 
remember my mom is an LDRP nurse!!!".These helpful reminders came from her boss who 
was induced, had her epidural and breastfeed less than a month and still 
bottle feeds the 4 year old but trainers and LCs are like the nanny a status 
symbol. 
Every day we encounter women upon admission who start to request the 
Lacatation Consultant even before putting the baby on the breast. It's status, just 
like our big suites.  And most will cave in the first night and request a 
bottle.  Culturally Miami is a breastfeeding desert.  They say " I am going to try", 
 " I will do both".  We are trying to make inroads but I really feel that we 
need to promote it from the minute they enter the doctor's office 
.....Empowering them to think they can and will succeed and they have milk.  I had a lady 
two days ago who told me she had "no milk"
baby sucking away and moved its head and I had to duck for the spray that 
came out. I told her that WAS milk, she told me "no, it was water."   Fortunately 
the baby had more sense than its mother and grandmother and refused the 
bottle and only wanted Mom.  She was sad the baby had rejected the bottle,  (it was 
offered before I came to the room).  By the end of the 12 hour shift she had 
gotten the message loud and clear....."I only want Mommy!"  The fact that her 
nurse for the day was an LC was the impressive part to her.  "I have the 
Lactation Consutant for my nurse today." 
So did 4 other dyads.  
Well stay warm.   Off to shop for the pregnant one's birthday gift...pjs, and 
breastfeeding bra.  
Lovingly,
Leanne Jewell, RNC, LCCE, FACCE, IBCLC
Miami

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