Several thoughts in one post, briefly:
I am not opposed to a second credential, but feel strongly
that said provider should work under the direction of an
IBCLC. In USA, this would be similar to the RN/LPN
supervision and delegation roles, the OT/COTA (occupational
therapist/certified OT assistant), MD/nurse practitioner, or
MD/physician assistant roles. This might mean an IBCLC on
the premises, or on call, or some other stipulation that an
IBCLC oversees the second credentialed person.
Polysporin or other antibacterial ointments: I recommend
that the mother gently clean or rinse with a clean cotton
ball moistened with water prior to bf. In my experience,
mothers just don't feel right about leaving it on for the
baby to ingest.
Discharge planning: I am proud to report that I started a bf
center in my hospital that offers all bf moms/babies a free
followup appointment approximately 48 hrs after hospital
discharge, sooner if needed. Additional visits as needed and
weight checks as needed. Mothers who had their babies
elsewhere can come in too. If the mother indicates she
cannot come back (transportation issues in a rural area)
then I will try to arrange followup with another IBCLC at a
sister hospital in another city, with a pediatrician, or
with the health department/US WIC lactation specialist. Some
experienced mothers decline the appointment, but it is
offered and encouraged to all. All mothers get a phone
followup if they don't make the visit. I coordinate my
appointment with the baby's doctor visits as indicated by
the baby's health and history and discussion with the
doctor.
Laurie Wheeler, IBCLC, MN, RN
Mississippi, s.e. USA
____________________________________________________________
_____
Get the new Windows Live Messenger!
http://get.liv
e.com/messenger/overview
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to listserv peach.ease.lsoft.com
The LACTNET email list is powered by LISTSERV (R).
There is only one LISTSERV. To learn more, visit:
http://www
.lsoft.com/LISTSERV-powered.html
|