Nikki writes:
<She laments the fragmentation of medical care in the US,
where the doctors
that catch the babies have little notion that what they do
makes the work
for
the folks that care for these babies. Dr. Lawrence Gartner
said as much to
me 15 years ago, that there is little communication between
OBs and
pediatricians.>
Nikki, this has long been my observation, so much so that
back in 1975,
in one of
the very first talks I ever gave, for CB educators, I
remember creating
a slide that
had the word 'obstetrics' on one side of a large space
(which I likened to
a canyon),
the word 'pediatrics' on the other side, connected with a
curved bridge
above labeled
'perinatal medicine' and another curved bridge below labeled
'peripartal
nursing'.
This was long before LCdom was ever mentioned in
professional circles. I had
personally decided that trying to persuade docs directly was
definitely not
my forte,
and only a waste of my time and energy. As a full-time
employed mother, I
was
considered ineligible in those days for the LLLL route, and
so I decided to
go around the
docs and go directly to the parents, and thus my short 4
year career as a
childbirth
educator and developing a separate prenatal breastfeeding
class, one of the
first in
the nation to my knowledge, for anticipatory guidance. Not
that much seems
to have
changed as far as collaboration by OB's and Peds.
Do you (or anyone) have any such statements of Dr. Gartner
or others in
print that I might use as a reference for something I'm
currently working
on? That is
such a pregnant phrase : "the doctors that catch the
babies have little
notion that what
they do makes the work (much harder) for the folks that care
for these
babies." There
are so many ways this plays out, for moms and babies as well
as for those
who care
for them. Of course, my particular narrow focus is
overhydration and excess
subareolar
tissue resistance, which seems to have gotten much more
common than in 1975!
Jean
*****************
K. Jean Cotterman RNC, IBCLC
Dayton, OH USA
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