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Lactation Information and Discussion <[log in to unmask]>
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Wed, 2 Dec 2009 15:43:06 EST
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Hello all,
 
Another situation where mothers just don't get the info they need from  
appropriate sources, or can't/won't hear it.
Mom with 2 month old who stopped breathing over the weekend while just  
being held on parent's lap. Baby worked up in ER, no findings. I remind  her 
that it's good baby is in bassinet in bedroom since baby's sleep best  and 
most safely in sensory nearness to their moms.  Mom's plan after the  apnea 
incident is to transition baby to crib alone in another room. I explain  she 
might want to reconsider the timing of that since sleeping nearby is much  
more likely to be safer, especially if baby stops breathing again. She  
counters ( as she always does with everything I say, she once told me she  couldn't 
consider CST for her baby's feeding issues because a baby in Europe had  
died going to an uncertified practitioner....) that it wouldn't matter because 
 she isn't awake all night watching the baby anyway, so she still wouldn't 
know  if the baby had stopped breathing. I say that whether awake or asleep, 
their  bodies are talking and responding to each other, and just being 
nearby makes it  less likely, but no nothing is guaranteed. She is concerned 
that she will "never  get the baby to be independent" if she doesn't move her 
soon. I tell her that  highest risk of SIDS is between 2 and 4 months, and 
she sounds like she might  actually consider not moving the baby out so soon. 
If I didn't know this mom,  having been working with her for weeks, I 
wouldn't have pushed back as hard  with the countering and ongoing info, but I 
thought, if something happens to  this baby, and no one told this mother that 
she might have made a difference by  following the AAP recommendations ( 
which  have no real information  attached to them in terms of timeframe so moms 
keep the baby nearby for a month  or two and then it's out they go, but 
they're better than not having any at  all...)... well I felt I owed it to her. 
We often disagree, and I do my best to  be respectful of her choices, but I 
can't not tell her what she needs to know.  So far, she has not stopped 
talking to me...:)
Thanks for letting me vent.
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA


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