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Discussing IGT

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As for the marriage/divorce analogy I don't think anyone here has implied that

as a matter of *routine* we initiate discussions with every mother regarding the

risk factors associated with IGT of hypoplasia anymore than I encourage telling

pregnant women horrible stories about lengthy, painful labors which result in

4th degree tears, or suggest people taking a cruise watch the Titanic before

they depart. That's just poor manners.

And being a counselor, I would have to say yes, that if there were evident risk

factors associated with a decision a client I was supporting was making in

regards to marriage, our session would actually probably involve exploring some

of those factors.

What we are discussing here is the initiation of compassionate, sensitive

dialogue, in the presence of evident risk factors, to develop the most optimal

plan of care and approach to maximize the likelihood of this mother's

breastfeeding success and ensure follow-up.

> > Dear Colleagues:

> >

> > What is the point of telling a mother about potential risk at the beginning

of the breastfeeding relationship? Do we tell brides after their wedding that

one in 3 marriages fail, and give her the names of 3 good counselors?

Breastfeeding therapists don't get crystal balls along with our scales and

pumps.

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