I empathized with Terry and appreciated Alicia's insights. From my end,
as a non-medical person, I see the influence of the pediatrician on
mothers in many instances. The studies have not shown this so much, but I
am amazed at how much power the doctor can have over breastfeeding
outcomes. I like very much the idea of finding out what the new mother's
issues are; you in such a wonderful position to inquire! In fact, you
might even ask "what obstacles prevent you from deciding to breastfeed?".
Some reasons are quite serious, while other reasons are often due to
misinformation, etc. I see the weight given to the doctor's word by
parents and I would just hope that perhaps this vested authority might
occasionally result in a "convert" or two?

I used to feel this anger, but I have finally stopped taking
responsibility for every mother's decision. It is definitely difficult,
especially if/when they encounter ABM-related complications down the
road; you really have to bite your tongue from saying, "I told you so".
If you can resist that impulse, however, many of these parents will see
the facts for themselves and do differently the second time around. The
others? Well, you can't take responsibility for denial, all you can do is
point out the facts and make recommendations.

One thought: I have heard of one pediatrician who "only" accepts
breastfeeding intended parents! While I am not suggesting that you take
such a stance, I am wondering if you have put a statement in your newborn
booklet (I'm assuming you have one; all the Peds here do) stating your
firm belief in the superiority of breastfeeding as both food and
relationship, and that you strongly hope that all of your families will
consider breastfeeding as part of their optimal care. There may be power
in such a public statement that doesn't put an individual on the spot.

At any rate, we're all there or have been there, frustration-wise. But
we're frustrated because we care, and because we know better. Ignorance
is..... bliss..... but can be damaging. I wholly sympathize.
-Lisa

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Lisa A. Marasco, IBCLC                                /  [log in to unmask]
International Board Certified Lactation Consultant    /  [log in to unmask]

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