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Subject:
From:
Christine Pillado <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 25 May 2005 00:31:51 EDT
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In a message dated 5/24/2005 9:42:19 P.M. Mountain Daylight Time,  
[log in to unmask] writes:


I  really feel for those that are trying to get a mentor and can't find 
anyone,  If we want this profession to go forward the clinical skills need to be 
there  and the best way to learn is under the direction of an experienced  
person.  I would not go see a doctor or chiropractor that did not have  clinical 
skills, why should we be any different.   



I have been following this thread very closely because am in the middle of  
all of this currently.  I have spend a considerable amount of money and far  
more time than my family cares to talk about in pursuing the pre-reqs to sit the 
 exam.  I thought I would be able to sit this year but will have to sit next  
year.  There were no IBCLCs around when I started counseling mothers.   I was 
on Active Duty in Korea and the only LLLL was two hours away.
 
Currently there are very few IBCLCs here that I would want to work under as  
I have cleaned up or attempted to clean up the wrecks they have created.  I  
know I have more experience in more varied situations than many of the IBCLCs  
here but I cannot sit the exam.  I teach in-services and teach classes, do  
private consults and read, read, read.  All of these situations I had to go  
create, I had to just walk in the door and say, "I will do this, when and  
where."  It has always amazed me that no one ever wanted my credentials (BA  in 
History, nursed two kids), no one watched me in the hospital rooms to see  what I 
was (or was not doing).  I didn't know much when I started but boy  you learn 
a lot fast.  I had one IBCLC to turn to for advice and, of  course, LACTNET.
 
That said, I know that there are many, many mothers who receive very, very  
bad or dangerous advice from RNs and LCs and MDs.  That is not to say  that 
there aren't persons with those same credentials here who are very  
pro-breastfeeding but they are few and far between.  If someone is in this  situation, not 
in a large city or near a large city and there are no  specialists, what do 
you do??  There isn't anyone here (that I have found  in 3 years here) who does 
CST for infants.  Docs here tell moms that their  breastmilk is poisoning 
their babies (i.e. jaundice), that breastmilk is not  needed after 6 weeks.  A 
mother was told OVER THE PHONE that the reason her  milk supply didn't come in 
(this was 7 days pp) was because she had insufficient  glandular tissue and 
would never make more milk than she already had.  She  doesn't have insufficient 
glandular tissue.  No one ever asked her about  retained placenta.  Her OB told 
her running hormone levels was a waste of  her time and money.  At day 20 her 
milk supply began to increase.  But  because no one ever took seriously her 
lack of milk supply prior to that we  really don't know what happened or why.  
She was ready to quit (day 10)  when she called me.  I don't have the answers 
she really needed at the  time she needed them, I had to do some research and 
there was no one else in  town to call who I thought would have the answer (I 
called a few of them  anyway).
 
The point being that in the areas where breastfeeding needs the most help  we 
have the fewest resources and the largest hurdles; how does one get the  
mentoring one needs and from whom?  As was stated earlier, just passing the  exam 
doesn't a good LC make.  So how does a novice get the mentoring needed  from 
someone who is qualified to be the mentor?  What ARE the  qualifications for 
being a mentor other than re-cert?
 
Frustrated, 
Christie Pillado
El Paso, TX

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