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Bad LC or Am I Just Impatient? (long)

post #1 of 12
Thread Starter 
Hey, All-

Right now I'm really torn. I have an LC who I really liked at first, but the longer we have her, the more I'm wondering about her.

When I first called her, she called right back and was very prompt and attentive. She came up with what appeared to be a good game plan, promised me she'd send it to our pediatrician and work with him hand-in-hand to get DD's weight up while saving our BFing relationship.

She sold me tons of things...including a breast pump rental, a pump holder, and expensive supplements (they are $40+ and a PITA to take bc you can't drink for 40 minutes!!!! IMO, they don't work anywhere as well as the herbs I had been taking before).

She told me to give DD 2 small bottles of formula a day, which I wasn't really sure about, but DD did need to put on some weight (her pediatrician originally recommended topping her off with an ounce maybe 3 times a day, but the LC is having us supplement a lot more).

She gave me a hug, promised to be a big advocate for us, and assured me I was doing a stellar job and DD was healthy... I felt a little concerned that she was pushing me to seeing an OB/GYN instead of going to my regular birth center (where DD was born), but I am desperate.

Well, two weeks later, I never heard from her—even after calling twice. I go to the followup appointment for the pediatrician. The LC never sent him any of the information she promised, but I was happy that DD has gained a pound.

Finally the LC calls me a day after the appointment. She makes a really big deal of what a great job I'm doing, and rushes me off the phone before I could ask any questions.

At this point, I feel I'm pretty much having to troubleshoot this all by myself (like I learned on my own how to keep my supply from dipping when my period came...something I had asked her about).

She did NOT call me back for over a week after I called up in tears to ask about alternatives to bottles when DD's latch got weak. When we finally spoke, she told me it was more important that DD is eating (note, DD was healthy before, but the dr. wanted her to put on a little weight) than whether or not she's taking a bottle. Weird... Everyone here, at LLL, and KellyMom mention there are alternatives to bottles that won't affect her latch so much.

Finally, I got brushed off last night after I asked when we can wean off the formula. At first the LC said, sure, but then she said, "oh let's wait a while" (DD has gained 2 pounds, I've been taking Domp for a couple of weeks, and DD is not terribly interested in her bottles).

I also mentioned to her I'm getting sore, because it feels like my milk isn't being emptied. She quickly assures me everything is fine and encourages me to think about how long I'd like to keep renting the pump. Then she cuts the conversation short, bc she has to meet with a new client.

I'm torn. This LC is very nice, DD is doing great with the weight gain, and I am scared to bring someone new on board (it takes so long to meet with an LC), but I'm really getting concerned as to whether this woman really cares about our BFing relationship... It sort of feels like she's just taking the money and running.

Should I hang on or consider getting a second opinion?
post #2 of 12
Honestly if this were me I'd be looking for a second opinion.

post #3 of 12
Wow, this woman sounds awful to me. She needs to call you back right away!! You can find another LC here: http://gotwww.net/ilca/ by zipcode, and this lists is only folks who are IBCLC, which is the most experienced certification out there. Good for you for sticking with breastfeeding, and looking out for your little one--GOOD LUCK!!

(and I would follow your gut and start to wean off the formula--especially if your lo isn't interested in bottles, and you're feeling like your breasts aren't getting emptied--both GREAT signs! From what I've read it's actually important to make sure your breasts are being emptied if you're worried about supply...because of the supply/demand thing. So yeah, I'd try to ditch the formula as soon as possible. But I'm not an expert, so make sure to check that she's still gaining weight, you know?)
post #4 of 12
I agree with the PP.
post #5 of 12
Thread Starter 
Wow, thank you! I thought so, but it really helps to hear this from other people. The biggest drag is this woman is IBCLC certified, and she was recommended to me by a friend so I feel guilty "firing" her. She also told me she was going through some personal issues.

So, I feel like I must be doing something wrong if I want to let her go...especially since our LO is gaining weight and my supply is going up....
post #6 of 12
Hi Walk Unafraid,

First, congratulations on the birth of your daughter and on her recent weight gain! :

In terms of the LC, I'd recommend getting a second opinion. I end-up seeing a total of 5 LCs. First, 1 at the hospital after delivery (she was nice, but not helpful beyond saying it was great that I was bfing). Second, I made an appointment with a private LC who worked at a small LC practice; she (without our permission) called in a second LC to join the appointment (we were not thrilled about that as it was one of many signs of lack of respect of our privacy). Both of the LCs were very nice, very positive about bfing, but both evaded our questions (e.g. "How can we tell when our daughter is sucking and swallowing versus just sucking?" Answer: "You'll know. Breastfeeding is developing an intimate bond with your child and you're doing just that!") or offered to sell us something. Well, we knew something was wrong and hours after seeing these LCs, our daughter was hospitalized for dehydration. At that point, we saw a different hospital LC who was also nice, but just said "looks great." In frustration, I then did a lot of research and got a lot of recommendations from sources (including my ob (who I adore), locate birth centers (even though I hadn't used them), friends, natural parenting resources, etc.)) found another LC (non-hospital-based, worked for herself and not a company) who was independently recommended by several people. She was very good, answered all of our questions in depth or honestly said "I don't know" if she didn't know, and didn't try to sell us anything. I'm glad I was persistent enough to find a really good LC!

When I was doing my research, several people (without knowing that I had tried them) said that they had or knew of people who had bad experience with the small LC company we had visited. I think that LCs can really vary in experience, skill, etc. and it's worth finding one who is really good and, most importantly, who you feel really comfortable with!

HTH!

ETA: I just saw your post about feeling bad about "firing" your LC. I was slightly concerned about not continuting to work with the LCs that we saw (even though it was so clearly the right decision after the dehydration incident) because the LCs were friends of friends, but I was reminded by a wise friend that as a client, I had a right to expect excellent service and to look elsewhere if I wasn't getting that service. While I would have compassion on a personal/spiritual level that your LC is having personal issues (as I would for any other human being), I would still switch because your relationship with her is a professional one, not a personal one. In a similar way, I wouldn't want the clerk at the grocery store to be having personal issues, but I would need him/her to be able to ring up my groceries and if he/she couldn't do that competently or efficiently, I'd go to another line.

Good luck! :-)
post #7 of 12
Quote:
Originally Posted by Walk Unafraid View Post
Wow, thank you! I thought so, but it really helps to hear this from other people. The biggest drag is this woman is IBCLC certified, and she was recommended to me by a friend so I feel guilty "firing" her. She also told me she was going through some personal issues.

So, I feel like I must be doing something wrong if I want to let her go...especially since our LO is gaining weight and my supply is going up....
You know what? Don't feel guilty. She doesn't even need to know that you're firing her, you know? Just call someone else and stop calling her. It seems like she's not really initiating that much for you right now anyway. If she does call, all you need to tell her is--thanks so much for your help, we're doing great! End of story. Maybe your friend got much better help from her since she wasn't going through personal issues or something. And sorry that she's having a hard time, but your baby needs to come first--and you would probably benefit from working with someone who was genuinely interested in helping you get rid of the last of the supplementing that you're doing (assuming that that is what you want).
post #8 of 12
Ugh! People like that should be reported to ILCA. Is she really an IBCLC or just a CLC?

How much weight did your daughter lose? Did the LC take a complete history? Did she check the latch?

She should NOT have sold you a pump (bad ethics) and most definitely should NOT have prescribed supplements. (please be careful about using herbs, though, too. Fenugreek - which is in those milk supply teas and commonly used by breastfeeding women, can actually cause more health problems and current research says it is contraindicated for breastfeeding.) And I can't believe an IBCLC would tell you to use FORMULA!

Please don't give up on getting help from an IBCLC. There are some wonderful ones out there. I hope that the next one you talk to will be able to help you.
post #9 of 12
I'd get a new one.

When I put my baby on formula supplements (3oz after each feeding w/SNS) he gained nearly a pound in 4 days. The better LC I went to cut the formula amt in half and has been working with me to build supply and get rid of formula asap.
post #10 of 12
I agree with PPs, you and your baby deserve a second opinion.
post #11 of 12
Quote:
Originally Posted by Carlyle View Post
You know what? Don't feel guilty. She doesn't even need to know that you're firing her, you know? Just call someone else and stop calling her. It seems like she's not really initiating that much for you right now anyway. If she does call, all you need to tell her is--thanks so much for your help, we're doing great! End of story. Maybe your friend got much better help from her since she wasn't going through personal issues or something. And sorry that she's having a hard time, but your baby needs to come first--and you would probably benefit from working with someone who was genuinely interested in helping you get rid of the last of the supplementing that you're doing (assuming that that is what you want).
::
post #12 of 12
With my DD, her pediatrician (mom of 2 herself) was super helpful with BF, low supply, supplementing, etc. So we didn't need LC at all. My milk was late coming in, so DD lost a lot of weight at the beginning. I told her it was SUPER important for me to not to jepardize BF. My ped and I worked together supplementing her minimum amount of formula for 1-2 weeks (only after breastfeeding, only 1 oz max per feeding few times a day, etc. Similar to what your ped said.) until she was out of danger zone and then it was all boob. Maybe you can just work with your ped (without LC) for a while?

As mothers, we have intuition that no training or certification can bring. If something doesn't feel 100% right with you, that means it's not right for you and baby, period. Trust that power. This doesn't mean your LC is evil or unqualifid or anything like that (which may well be, btw, ha!) it just means LC is not a good fit for what you need. Go your separate way and don't look back!
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