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I've been called out with a misunderstanding. I was called at my "day job" and caught off guard. I almost cried. We try to give our best but I think it is sometimes intimidating. Ugh, and here you were using your knowledge and experience to help this mom. I'm sorry that must have been a tough call, Dana Sent from my iPhone

Just got a call from a ped. who sends me a lot of her patients. Apparently a mom told her that I made "disparaging comments" about the doc. I think I did ok with damage control--finally saying to the dr. "why would I say ANYTHING bad about a Dr. who sends me clients on a regular basis?" She agreed that would be pretty stupid. This particular baby was tongue tied but it was subtle. I explained to the dr. that I usually tell moms that the ped. may not see the TT because it is not their specialty. That could be what the mom interpreted as a disparaging comment.I realize that I cram sooo much in 1.5 hours AND have to educate mom, dad and sometimes grandma at the same time. Maybe I'm trying to do too much and convey too much information and it gets messed up....I am letting

you all know, b/c I know you care and I can vent. Also, so you will be extra, extra careful around postpartum moms. Things can get twisty. As I told my daughter tonight...The conversation with this ped would have felt better if she also called every time I helped fix a problem!Thank you for listening! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/

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I don’t know how you get a whole

consult done in one and half hours!

I tell parents the

same as you. Oh, brother.

Be kind to yourself.

I found an interesting article from the

Archives of Internal Medicine on the

doctor –patient gap.

There were startling different

perspectives between what the doctor

said and what the patient heard.

The problem

isn’t just with LCs and their

new mommies.

Ellen Simpson

From: @...m

[mailto:@...m] On Behalf Of Beebe

Sent: Tuesday, January 18, 2011

9:51 PM

To: ibclc-pp@...m

Subject: venting

Just got a call from

a ped. who sends me a lot of her

patients. Apparently a mom told her that I made

" disparaging comments " about the

doc. I think I did ok with damage

control--finally saying to the dr.

" why would I say ANYTHING bad about a Dr. who sends me clients on a regular basis? " She

agreed that would be pretty stupid. This particular baby was tongue

tied but it was subtle. I explained to the

dr. that I usually tell moms that the

ped. may not see the TT because it is not their

specialty. That could be what the

mom

interpreted as a disparaging comment.

I realize that I cram

sooo much in 1.5 hours AND have to

educate mom,

dad and sometimes grandma

at the same

time. Maybe I'm trying to do too much

and convey too much information and it gets messed

up....

I am

letting you all know, b/c I know you care and I can vent. Also, so you

will be extra, extra careful around postpartum

moms.

Things can get twisty.

As I told my

daughter tonight...The conversation with this ped would have felt better if

she also called every time I

helped fix a problem!

Thank you for listening!

Beebe, M.Ed., IBCLC

Lactation Consultant/Postpartum

Doula

www.second9months.com

Breastfeeding Between the Lines: http://second9months.wordpress.com/

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I know many of you have heard me talk about my research proposal (it's getting

dusty.....) ad nauseum....but Ellen I tried to search for this article on what

patient's hear versus what is said and I was unsuccessful. If you have a link I

would sure appreciate it.

My research question is, 'How accurately do mothers recall postpartum

breastfeeding support and instructions provided within 72 hours following

birth?'

I cannot tell you how common it is for me to work with patients who inaccurately

recall advice, and instructions provided in the hospital I work for. This is not

a knowledge deficit on their part, they are often seriously sleep deprived,

sometimes taking medications that cause further drowsiness, and despite our

collective beauty, very distracted with their darling newborn baby.

We have patients delivering at 4am who are discharging at 8 pm. Preaching to the

choir if you feel this is less than ideal! But that's the situation. I have

witnessed patients describe to me instructions provided by the nursing staff

while I was in the room, and I could not believe how distorted their recall can

be. It's a problem. If we can establish this actually occurs, then we can use

that research to inform further studies about how we an improve the education we

provide to increase comprehension and accurate recall.

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I think in the future I will try to only give the facts of the situation at hand and not say ANYTHING about anybody else. sort of kidding, but I'm gonna try it. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- From: popikins

Subject: Re: ventingTo: Date: Tuesday, January 18, 2011, 7:21 PM

I know many of you have heard me talk about my research proposal (it's getting dusty.....) ad nauseum....but Ellen I tried to search for this article on what patient's hear versus what is said and I was unsuccessful. If you have a link I would sure appreciate it.

My research question is, 'How accurately do mothers recall postpartum breastfeeding support and instructions provided within 72 hours following birth?'

I cannot tell you how common it is for me to work with patients who inaccurately recall advice, and instructions provided in the hospital I work for. This is not a knowledge deficit on their part, they are often seriously sleep deprived, sometimes taking medications that cause further drowsiness, and despite our collective beauty, very distracted with their darling newborn baby.

We have patients delivering at 4am who are discharging at 8 pm. Preaching to the choir if you feel this is less than ideal! But that's the situation. I have witnessed patients describe to me instructions provided by the nursing staff while I was in the room, and I could not believe how distorted their recall can be. It's a problem. If we can establish this actually occurs, then we can use that research to inform further studies about how we an improve the education we provide to increase comprehension and accurate recall.

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In then new Breastfeeding Answers Made Simple by Mohrbacher, she notes two studies on PP info recall and concludes that mothers need support not teaching. That even though the mother may be usually left brained, after birth they tend to be right brained. I haven’t figured out how to change my usual instructions to right brain, but I try to add stories and touchy feely stuff to arouse the senses. I’m so glad the subject came up b/c I have a fear of what I say biting me in the ass. It’s such a touchy field to be in. So many toes to step on and so many hurdles to overcome!June , RN, IBCLC, LLLLOhio From: [mailto: ] On Behalf Of popikinsSent: Tuesday, January 18, 2011 10:22 PMTo: Subject: Re: venting I know many of you have heard me talk about my research proposal (it's getting dusty.....) ad nauseum....but Ellen I tried to search for this article on what patient's hear versus what is said and I was unsuccessful. If you have a link I would sure appreciate it.My research question is, 'How accurately do mothers recall postpartum breastfeeding support and instructions provided within 72 hours following birth?'I cannot tell you how common it is for me to work with patients who inaccurately recall advice, and instructions provided in the hospital I work for. This is not a knowledge deficit on their part, they are often seriously sleep deprived, sometimes taking medications that cause further drowsiness, and despite our collective beauty, very distracted with their darling newborn baby. We have patients delivering at 4am who are discharging at 8 pm. Preaching to the choir if you feel this is less than ideal! But that's the situation. I have witnessed patients describe to me instructions provided by the nursing staff while I was in the room, and I could not believe how distorted their recall can be. It's a problem. If we can establish this actually occurs, then we can use that research to inform further studies about how we an improve the education we provide to increase comprehension and accurate recall.

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I don’t have the

actual article. I read about it in Consumer

Reports On Health.

The article was in the

August 9, 2010 issue of the A of IM.

The “research” was done by Yale School of Medicine.

Example:

19% of doctors said they did not

discuss adverse drug effects with patients whereas 90% of the patients said they

were not told about adverse drug effects.

Ellen

From: @...m

[mailto:@...m] On Behalf Of popikins

Sent: Tuesday, January 18, 2011

10:22 PM

To: @...m

Subject: Re: venting

I know many

of you have heard me talk about my research proposal (it's getting dusty.....) ad

nauseum....but Ellen I tried to

search for this article on what patient's hear versus what is said and I was

unsuccessful. If you have a link I would sure appreciate it.

My research question is, 'How accurately do mothers recall postpartum

breastfeeding support and instructions provided within 72 hours following

birth?'

I cannot tell you how common it is for me

to work with patients who inaccurately recall advice, and instructions provided

in the hospital I work for. This is

not a knowledge deficit on their

part, they are often seriously sleep

deprived, sometimes taking medications

that cause further drowsiness, and

despite our collective beauty, very distracted with their

darling newborn baby.

We have patients delivering at 4am

who are discharging at 8 pm.

Preaching to the choir if you feel

this is less than ideal! But that's the

situation. I have witnessed patients describe to me

instructions provided by the nursing

staff while I was in the room, and I could not believe how distorted their recall can be. It's a problem. If we can establish this actually occurs, then we can use that research to inform further

studies about how we an improve the education we provide to increase comprehension and accurate recall.

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align=center>

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Thank you for your support everyone. My feeling about what moms hear vs what we say is this: If mom is mis-hearing, than I am mis speaking. It is my job to communicate so that the mom understands. I take that responsibility as my own. not hers. I have to be more careful. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- On Tue, 1/18/11, Ellen Simpson

wrote:Subject: RE: Re: ventingTo: Date: Tuesday, January 18, 2011, 7:45 PM

I don’t have the actual article. I read about it in Consu m er

Reports On Health. The article was in the August 9, 2010 issue of the A of IM.

The “research†was done by Yale School of Medicine. Exa m ple:

19% of doctors said the y did not

discuss adverse drug effects with patients whereas 90% of the patients said the y

were not told about adverse drug effects. Ellen

Fro m : @... m [ m ailto: @... m ] On Behalf Of popikins

Sent: Tuesday, January 18, 2011

10:22 PM

To: @... m

Subject: Re: venting

I know m any

of you have heard m e talk about m y research proposal (it's getting dusty.....) ad

nauseu m ....but Ellen I tried to

search for this article on what patient's hear versus what is said and I was

unsuccessful. If you have a link I would sure appreciate it.

My research question is, 'How accurately do m o the rs recall postpartu m breastfeeding support and instructions provided within 72 hours following

birth?'

I cannot tell you how co m m on it is for m e

to work with patients who inaccurately recall advice, and instructions provided

in the hospital I work for. This is

not a knowledge deficit on the ir

part, the y are often seriously sleep

deprived, so m eti m es taking m edications

that cause fur the r drowsiness, and

despite our collective beauty, very distracted with the ir

darling newborn baby.

We have patients delivering at 4a m who are discharging at 8 p m .

Preaching to the choir if you feel

this is less than ideal! But that's the situation. I have witnessed patients describe to m e

instructions provided by the nursing

staff while I was in the roo m , and I could not believe how distorted the ir recall can be. It's a proble m . If we can establish this actually occurs, the n we can use that research to infor m fur the r

studies about how we an i m prove the education we provide to increase co m prehension and accurate recall.

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That's really what I am hoping to identify. How can we improve what we do so

that it provides the mother what she needs and is seeking. So this will require

we alter our behaviors and approaches, my intention is to try to identify which

of our approaches in terms of offering support and education should be the focus

of identifying ways to help with accuracy of recall and comprehension.

>

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I have taught Birthing From Within if you've ever heard of this prenatal class

it's focus is on right brained birth preparation. I really enjoy Pam England's

approaches, and so do many parents.

I have to be honest though, for example providing parents with a discharge

feeding plan for their preterm infant is most likely going to require

incorporating some degree of what we would all consider plain, old school,

teaching. I don't see any way around it.

If anyone is going to ask me to write down feeding instructions it is these

parents who are coping with numerous components to sometimes complex feeding

plans, adding vitamins, pumping, followed with supplementing EMM, sometimes

formula, or fortifier, juggling supply obstacles in some cases. This is when I

feel like my counseling AND teaching skills are vital.

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AMEN Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: ventingTo: Date: Tuesday, January 18, 2011, 8:26 PM

I have taught Birthing From Within if you've ever heard of this prenatal class it's focus is on right brained birth preparation. I really enjoy Pam England's approaches, and so do many parents.

I have to be honest though, for example providing parents with a discharge feeding plan for their preterm infant is most likely going to require incorporating some degree of what we would all consider plain, old school, teaching. I don't see any way around it.

If anyone is going to ask me to write down feeding instructions it is these parents who are coping with numerous components to sometimes complex feeding plans, adding vitamins, pumping, followed with supplementing EMM, sometimes formula, or fortifier, juggling supply obstacles in some cases. This is when I feel like my counseling AND teaching skills are vital.

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, I hear you!We all hear things differently, even at the best of times.I remember a LLL meeting when we happened to have three mothers with four month olds, all about the same weight and very healthy. The topic was *starting solids* and each of the mothers had recently been given advice about this by their docs. One mother reported her doc had (apparently) told her to start solids immediately, the second was told to hold off on solids for now, and the third was told she could start when she was ready.

On further investigation, it turned out that all three went to the same doctor, and he had actually said the same thing to all of them. They had interpreted his advice according to what they wanted to hear. Anyway, bearing this kind of thing in mind, I always follow up each consultation with a narrative email in which I detail each of the mother's concerns and the various suggestions I have made and she has agreed to try, as well as resources for further reading. Having this record make ME feel more comfortable, as well as providing the mother with information to which she can refer at home.

Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:

http://tinyurl.com/BMCRonFB

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Norma, What a great story! This is why, of course, whenever I call back a doc who the mom told me something that I think was really wacky, I will always start by saying “I spoke to so and so, and I just wanted to clarify what instructions she was given by you..” I have often had a good chuckle with the doc together over her hearing something totally different. And then of course, we are on the same side… Billowitz, IBCLCIsrael From: [mailto: ] On Behalf Of Norma RitterSent: Wednesday, January 19, 2011 7:59 AMTo: Subject: Re: Re: venting , I hear you!We all hear things differently, even at the best of times.I remember a LLL meeting when we happened to have three mothers with four month olds, all about the same weight and very healthy. The topic was *starting solids* and each of the mothers had recently been given advice about this by their docs. One mother reported her doc had (apparently) told her to start solids immediately, the second was told to hold off on solids for now, and the third was told she could start when she was ready.On further investigation, it turned out that all three went to the same doctor, and he had actually said the same thing to all of them. They had interpreted his advice according to what they wanted to hear. Anyway, bearing this kind of thing in mind, I always follow up each consultation with a narrative email in which I detail each of the mother's concerns and the various suggestions I have made and she has agreed to try, as well as resources for further reading. Having this record make ME feel more comfortable, as well as providing the mother with information to which she can refer at home. Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:http://tinyurl.com/BMCRonFB__________ Information from ESET NOD32 Antivirus, version of virus signature database 5798 (20110118) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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http://www.internationalbreastfeedingjournal.com/content/5/1/20

You may find this article of interest. The study shows the difference between how midwives interacted with patients and the patients perception of breastfeeding support. Keep in mind that the study was done in Sweden, where the mother's may be discharged as soon as 6 hours after birth (other studies have shown that early discharge negatively impacts breastfeeding outcomes).

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I always give mom a written report at the time of the visit. it's the chit chat that has been misinterpreted... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/--- Subject: Re: Re:

ventingTo: Date: Tuesday, January 18, 2011, 9:58 PM

, I hear you!We all hear things differently, even at the best of times.I remember a LLL meeting when we happened to have three mothers with four month olds, all about the same weight and very healthy. The topic was *starting solids* and each of the mothers had recently been given advice about this by their docs. One mother reported her doc had (apparently) told her to start solids immediately, the second was told to hold off on solids for now, and the third was told she could start when she was ready.

On further investigation, it turned out that all three went to the same doctor, and he had actually said the same thing to all of them. They had interpreted his advice according to what they wanted to hear. Anyway, bearing this kind of thing in mind, I always follow up each consultation with a narrative email in which I detail each of the mother's concerns and the various suggestions I have made and she has agreed to try, as well as resources for further reading. Having this record make ME feel more comfortable, as well as providing the mother with information to which she can refer at home.

Norma Ritter, IBCLC, RLCBreastfeeding Matters in the Capital Regionwww.NormaRitter.comJoin us on Facebook for the latest birthing and breastfeeding news and views:

http://tinyurl.com/BMCRonFB

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  • 1 month later...

Water always makes me puke more. This baby needs electrolytes and sugar for energy. Something like, I know, breastmilk! Yikes!Sent from my iPhone

OMYGOSH, i just got an email from a former client who's 10-mo-old has been on a nursing strike since a virus about 10 days ago. she went to her ped for advice who told her "don't give him anything to eat or drink except water". ARGH!!!! She has been starving this baby for 2 days now! why do drs do this??ok, I feel better now. a little. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months

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the baby is not sick anymore--just on strike. I talked to the mom and she quite w/holding food and I told her no more bottles of water, lots of skin to skin, the usual. Why do peds say to not feed a baby? I've heard this over and over--even with newborns. yuck. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months---

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 12:56 PM

Water always makes me puke more. This baby needs electrolytes and sugar for energy. Something like, I know, breastmilk! Yikes!Sent from my iPhone

OMYGOSH, i just got an email from a former client who's 10-mo-old has been on a nursing strike since a virus about 10 days ago. she went to her ped for advice who told her "don't give him anything to eat or drink except water". ARGH!!!! She has been starving this baby for 2 days now! why do drs do this??ok, I feel better now. a little. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months

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I never heard that advice when I worked in the pedi office. We would suggest leaving small nutritious snacks around where the baby could self fee as she liked and/or bf ad lib. This baby is probably terrified about vomiting again. That sounds like pretty archaic advice.Sent from my iPhone

the baby is not sick anymore--just on strike. I talked to the mom and she quite w/holding food and I told her no more bottles of water, lots of skin to skin, the usual. Why do peds say to not feed a baby? I've heard this over and over--even with newborns. yuck. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months---

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 12:56 PM

Water always makes me puke more. This baby needs electrolytes and sugar for energy. Something like, I know, breastmilk! Yikes!Sent from my iPhone

OMYGOSH, i just got an email from a former client who's 10-mo-old has been on a nursing strike since a virus about 10 days ago. she went to her ped for advice who told her "don't give him anything to eat or drink except water". ARGH!!!! She has been starving this baby for 2 days now! why do drs do this??ok, I feel better now. a little. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months

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welll, I don't think this baby was vomiting. maybe had a sore throat... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Cradlehold

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 1:06 PM

I never heard that advice when I worked in the pedi office. We would suggest leaving small nutritious snacks around where the baby could self fee as she liked and/or bf ad lib. This baby is probably terrified about vomiting again. That sounds like pretty archaic advice.Sent from my iPhone

the baby is not sick anymore--just on strike. I talked to the mom and she quite w/holding food and I told her no more bottles of water, lots of skin to skin, the usual. Why do peds say to not feed a baby? I've heard this over and over--even with newborns. yuck. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months---

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 12:56 PM

Water always makes me puke more. This baby needs electrolytes and sugar for energy. Something like, I know, breastmilk! Yikes!Sent from my iPhone

OMYGOSH, i just got an email from a former client who's 10-mo-old has been on a nursing strike since a virus about 10 days ago. she went to her ped for advice who told her "don't give him anything to eat or drink except water". ARGH!!!! She has been starving this baby for 2 days now! why do drs do this??ok, I feel better now. a little. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months

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Ok well I really missed the mark on this one (lol)!Sent from my iPhone

welll, I don't think this baby was vomiting. maybe had a sore throat... Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: Cradlehold

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 1:06 PM

I never heard that advice when I worked in the pedi office. We would suggest leaving small nutritious snacks around where the baby could self fee as she liked and/or bf ad lib. This baby is probably terrified about vomiting again. That sounds like pretty archaic advice.Sent from my iPhone

the baby is not sick anymore--just on strike. I talked to the mom and she quite w/holding food and I told her no more bottles of water, lots of skin to skin, the usual. Why do peds say to not feed a baby? I've heard this over and over--even with newborns. yuck. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months---

Subject: Re: ventingTo: " " < >Date: Monday, February 21, 2011, 12:56 PM

Water always makes me puke more. This baby needs electrolytes and sugar for energy. Something like, I know, breastmilk! Yikes!Sent from my iPhone

OMYGOSH, i just got an email from a former client who's 10-mo-old has been on a nursing strike since a virus about 10 days ago. she went to her ped for advice who told her "don't give him anything to eat or drink except water". ARGH!!!! She has been starving this baby for 2 days now! why do drs do this??ok, I feel better now. a little. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months

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no i didn't talk to the ped. it's not someone I know. But I already told the mom to start feeding the baby and she did! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- Subject: Re: ventingTo: Date: Sunday, February 20, 2011, 9:55 PM

oh renee, how awfully infuriating! are you able to talk to the ped?

lyla

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I had one of my moms recently call me because her 6 month old got a stomach bug - she was told to ONLY give him pedialite! She called me immediately and said she thought she should nurse him. I agreed with her - she is changing her ped, as this was yet another on a long list of breastfeeding misinformation.Where do these people get these ideas!!!!!????Leigh Anne O'Connor, LLL, IBCLC - getting psyched for Philly on FridaySent from my Verizon Wireless BlackBerrySender: Date: Mon, 21 Feb 2011 15:35:27 -0800 (PST)To: < >ReplyTo: Subject: Re: venting no i didn't talk to the ped. it's not someone I know. But I already told the mom to start feeding the baby and she did! Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comBreastfeeding Between the Lines: http://second9months.wordpress.com/Facebook: www.facebook.com/thesecond9months--- From: lylaw <lylaw@co!mcast.net>Subject: Re: ventingTo: Date: Sunday, February 20, 2011, 9:55 PM oh renee, how awfully infuriating! are you able to talk to the ped? lyla

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