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Subject:
From:
Elizabeth Brooks <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 26 Oct 2015 08:10:49 -0400
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The question is asked: How to open the topic of hypoplasia with a parent,
especially in this day-and-age of body shaming and objectification?  Will
it just add "breast appearance to the list of things women dislike about
themselves?"

No.  Heck, No.

Information never hurt anyone.

Look, folks.  IBCLCs are clinical specialists in BFg and lactation.  If we
see markers (*any* markers) that indicate a yellow or red flag for the very
thing we specialize in --- indeed, the very thing about which the parent is
having a clinical visit -- then who the heck *is* gonna raise the topic?

If seeing the family before or right after delivery, a good clinician will
use excellent parent-centered communication skills, to impart information
about what is seen -- and then to *empower* the parent by describing how to
know that milk supply may not be sufficient.

There is a HUGE difference between being told "You might have supply isues,
here is why I say that, and here is what to look for" ... and to have been
discharged, buh-bye, and now be left to twist slowly in the wind for weeks,
weepily consulting Dr. Google about your frantic, non-gaining baby and
trying desperately to find out "what's wrong with ME." Talk about creating
"shame" and "anxiety."

I urge anyone who works with BFg families to purchase and READ (don't let
it sit in "your pile") Diana Cassar-Uhl's "Finding Sufficiency:
Breastfeeding with Insufficient Glandular Tissue [IGT]."  Her research
confirms that families with IGT *want* to know what the deal is with their
bodies, and they *want* their healthcare providers to be offering them
clinical guidance.  It is an excellent resource for us, and for families,
and should be on your shelf.

-- 
Liz Brooks, JD, IBCLC, FILCA
Wyndmoor, PA, USA

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