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were my rights violated? /nursing at the dentist

post #1 of 34
Thread Starter 
i just wrote this. would you tell me what you think?

obviously if i could go back, i would have just gotten up and left a LOT sooner.

here it is:



Dear xxxxxxxxxxxxxxxxxx.

I want to start by saying that I am glad for what Valley View is trying to accomplish in our community. I appreciate that there is a place for low-income people to go and receive medical care. I am writing this letter to address an area of concern.

I recently needed to be seen by a dentist due to some pain I was having. I am new to Valley View, but called and was given an appointment. To be frank, I was nervous about how I would be treated in a low-income clinic, and worried that I would not receive the same level of compassionate care I would somewhere else.

However, I was not really concerned about how my newborn breastfed baby would be during my appointment. She is a very happy baby who had never really cried, mostly due to me following the directions of the hospital and the American Academy of Pediatrics by cue-feeding her when she shows early hunger signals.

I did tell the Valley View receptionist that I was a new mom, and needed to know how long the appointment would take because of my breastfed baby. She said it would be quick, just an hour in length.

My husband came with me to care for our newborn, so she could stay near me. My baby was asleep in her car seat when we arrived, so my husband stayed in the car with her, and I went in a few minutes early. I completed about five-minutes of paperwork and sat in the waiting room.

Half an hour went by. I asked the receptionist when I would seen, and she said it was just now time for my appointment. She said they had told me my appointment started half an hour earlier than it actually did, so I would fill out the papers. This untruth was unnecessary, and I would have brought my baby in and nursed her during that time had I been told the truth. This would have assured her being happy during my actual appointment.

Finally, I was called back to see the dentist. When he was looking in my mouth, I suddenly heard my baby frantically screaming. She has never screamed before in her life. She was in the waiting room with my husband. When the dentist was done in my mouth, I asked about nursing her in the chair or in the waiting room, and was told no because of my appointment, even though by this time the dentist was done looking in my mouth, the x-rays were taken, and I was then left alone for an extended period.

I didn’t know, but my husband had taken our completely hysterical baby back to the car to avoid disturbing other people. I checked the time and saw I had been there for almost two hours now. The dentist still had not come back to talk to me, and I was alone, just waiting and waiting.
After sitting there for a while, I decided to tell someone I was just going to leave. The dental clinic seemed deserted and it took some time to find anyone to tell that I was going.


This should have been a situation where some simple human compassion and dignity would have went a long way.

As a woman in Washington State, I have the right to nurse my baby in any place I am legally authorized to be. I’m sure you have heard about the lawsuits in this very matter. I strongly urge you to educate your staff on the needs of a mother-baby pair, and on the Washington state breastfeeding law, RCW 43.70, 9A.88.010 . I also strongly urge you to get a copy of The Washington State’s Human Rights Commission “Guide to Breastfeeding and Washington State Nondiscrimination Laws,” and make sure it is understood by your entire staff.

To quote Washington State law, children should be breastfed when they show signs of need, rather then according to a set schedule or the location.
Obviously, I did not expect to be able to nurse when the dentist was seeing me, but clearly there is no harm to anyone if I nurse while continuously waiting in the chair alone, or in the waiting room.

According to Washington State law RCW 43.70, 9A.88.010, most mothers want to breastfeed, but stop due to lack of societal support, which is what happened to me at your health care facility- ironically a place where one would expect healthy practices to be supported and encouraged.

I would think that your clinic, as a place for many low-income and minority families, would be especially accommodating to a nursing mother-baby pair. After all, surely a medical clinic should be aware that both low-income families and minority groups have lower breastfeeding rates, and thus need more support in this area. Washington state spends money each year to do just that, where your clinic could have done it for free with just a little common sense.

With all due respect, in order to prevent what happened at Valley View from happening again to my family, I will be spending thousands of dollars my family ‘doesn’t have’ to see my regular dentist, who respects the individuality of my family’s situation, is compassionate to the needs of women, and is truly patient-centered.

I genuinely ask that you train your staff properly, according to Washington state law and the basic functions of women and babies so this does not happen to any other families in you care.

Sincerely,

xxxxxxxxxxxxxxxxxxxxx
post #2 of 34
I think you need to figure out if he told you "No I can't have you take off to breastfeed in the middle of your appointment because we are booked solid", or if he really didn't want you breastfeeding in the buidling, because those are two different things.
post #3 of 34
Thread Starter 
nak

right. they just said no, because it was 'during my appointment' even when i was alone and waiting forever, even when the dentist was done with my mouth.... and they also refused in front to let dh bring her back.

i just dont know how to address it.
i just really don't want it to happen again to others, yk?
post #4 of 34
Wellllll, you are incorrect on a few points of the law. THe law does NOT state that you can breastfeed your baby any place that *YOU* are authorized to be. It is that you can breastfeed your baby any place that *the baby* is authorized to be. Does that make sense? For example, a baby is NOT authorized to be in a bar. SO, you have no legal right to breastfeed your child there because a child is not allowed to be in their legally, breastfeeding or not.


In your case, if the baby is not authorized to be in the back dentist's office or if no additional people (regardless of age) are allowed in the back dentist's office than he can say, "no, you cannot bring your baby back here to breastfeed" BUT...your baby IS allowed and authorized to be in the waiting room so you could have breastfed her there.

BUT....a dentist is not legally bound to allow you time to breastfeed during your appt. I mean, he can't stop you from walking into the waiting room and feeding your baby, but he doesn't have to keep your appt either.

You should still write a letter to the office because it upset you and really, it sounds like it wouldn't have been a big deal to give you a few minutes to breastfeed your baby in the waiting room, but don't include the part where you wrote that you can legally breastfeed wherever you are authorized to be, because that is incorrect.
post #5 of 34
Thread Starter 
thanks. i read that online somewhere and just ran with it.
post #6 of 34
I think your letter is concise and well written. I would take out the apostrophes around 'does not have' because they don't belong there. In emails, asterisks are often used to convey emphasis, but in type, you want to use italics or bold facing.

Whether or not your rights were violated (and I have no idea), certainly your baby's needs were violated. I'm sorry; it must have been such a sad experience for you.

You might also consider a call to the breastfeeding coordinator at the local WIC office to get her insight, as she probably works with the dental clinic in some form or another.
post #7 of 34
I'm sorry that this happened, and i can imagine how stressful this way for both of you. If nothing else this experince will make you more ballsy. I simply would have gotten up and gone to get the baby when i heard her crying and just nursed her during the cleaning/exam.
post #8 of 34
Next time, don't ask, just signal your DH to bring the baby over, or just say "I'll be right back" and get the baby.
post #9 of 34
I'm sorry you and your baby had to go through such a rough experience.

After the exam and procedures had been completed, I would personally be more upset about being left alone for a long time after it was made apparent to the dentist that you needed to feed your child--he could have easily told you that you would be waiting for a while and that you could nurse in the lobby.

I would also be ticked off that they told you your appointment was 30 minutes earlier than it really was--any experience I have had with new dentists/doctors, they tell me to arrive 15 minutes early to fill out the paperwork as a courtesy.

I think your letter was well written, though. I would just put some additional emphasis on the other points as well, and give an example of the ideal scenario--that you should have been given simple courtesy--the dentist could have given an official intermission to nurse your baby in the lobby while you were already waiting for him to return. What he did was seriously unprofessional.
post #10 of 34
Quote:
Originally Posted by laohaire View Post
Next time, don't ask, just signal your DH to bring the baby over, or just say "I'll be right back" and get the baby.
I would not have thought to do that then, but it would be something that I would have thought of retrospectively.
post #11 of 34
very well written! You tell em. Im sorry you had to go through that.
post #12 of 34
Well I have been in similar situations (and I hate when they tell you your appointment is a 1/2 hour earlier to fill out 5 mins. of paperwork BTW!!!)... I would suggest next time not asking. Just have your DH bring the baby in & nurse while they work on your teeth. I do think your baby's right to eat was violated!! I don't know about the exact laws. I also think telling the people at the front desk that you have a BF baby isn't going to help because they won't understand that means feeding on demand, no bottles, etc. Instead you could just say you will need to be available to your baby because she may need to eat if the appointment is longer than X amount of time. I have gotten up and walked right out of meetings etc. to go feed my baby. Don't ask, just do it, particularly if they're not even attending to you!!

Regarding your letter, it seems very well-worded overall, the one part I would find somewhat offensive is:

Quote:
Originally Posted by Love View Post
However, I was not really concerned about how my newborn breastfed baby would be during my appointment. She is a very happy baby who had never really cried, mostly due to me following the directions of the hospital and the American Academy of Pediatrics by cue-feeding her when she shows early hunger signals.
I understand what you're getting at here (that baby needs to be fed on demand) but it could offend & alienate people. I followed probably the exact same guidelines as you, cue-feeding, etc. and I would never ever ever describe my baby as "a very happy baby who had never really cried" -- he is very high needs & has always cried often. I have also seen babies that were not demand-fed, as well as babies that were formula-fed, and many were very happy babies. I think using that justification is opening yourself up to more arguments, and if the person receiving this letter has ever had a baby, they may feel very defensive on this point. You could simply rephrase it to something like:

Quote:
She is a very happy baby who had never really cried. The American Academy of Pediatrics advises cue-feeding her when she shows early hunger signals.
I think your references to "human compassion and dignity" are spot-on! Good luck with the letter
post #13 of 34
I would add in something about the benefits of breastfeedign from the dental perspective, how it facilitates proper jaw development, etc.
post #14 of 34
Quote:
Originally Posted by evermore82 View Post
I would not have thought to do that then, but it would be something that I would have thought of retrospectively.
Honestly, I probably would have been intimidated a few years ago (when my kid was a baby) too.

As time goes by, I change. I am much more assertive. I think about things that happened - with doctors, mostly - when my DD was a baby and how I went along with it, even though I was uncomfortable, or knew better, or disagreed.

It's too bad this increase in assertiveness doesn't happen to mothers instantly upon conception.

Yes, I can see myself asking for permission to get my baby a few years ago. Today, I would not. I have come to see myself as the ultimate authority when it comes to my child, and no dentist or doctor or schoolteacher or anybody will get in the way of that.
post #15 of 34
Most dental offices would not authorize a child in the back of the office who is not being treated. There is too much liability. It sounds like the real issue is that you were wold you would be there for one hour, which would not have created a problem. In actuality, you were spending time waiting which caused issues with your daughter's feeding schedule. I would focus on that aspect of the care. If they were going to be delayed, they should have notified you so that you could breastfeed during a break.

I would also like to add that I have worked for an FQHC (same federal funding as your clinic) for the last 5 years, and we have BF moms all over the place. However, we do not allow babies in the dental area. If we know you are a BF mom and we are delayed, we will take a break to allow you to feed the baby.
post #16 of 34
Thread Starter 
thanks! i made all the changes. dh just printed the letters off, and i will let you know if i hear anything back.
post #17 of 34
Quote:
Originally Posted by anj_rn View Post
Most dental offices would not authorize a child in the back of the office who is not being treated. There is too much liability.

I've always had extra kids in the rooms - siblings of the patient, foster kids of ours,my kids when I'm the patient, etc. I had fillings replaced with dd2 sleeping on my chest, she was a couple of months old at the time. The assitant held her while I got the needle (I hate needles) then she was on me. I've also bf both girls back there, no problems.
post #18 of 34
Well, the letter is gone now, but I think my first letter in this instance would not mention the law, you let them know you were breastfeeding and needed time information, they gave you incorrect info and compounded it by not accomodating you when you asked to nurse when you weren't actually being seen - personally I wouldn't have even asked, I'd just have said, I'm nursing, call me when you need me.

To be honest, the idea that you wouldn't allow a child with another adult to supervise them in the clinic area is odd to me, particularly not an infant who can't run around and do something dangerous. I had a root canal scheduled and DH was going to come with me and it turned out to be a snow day and school was closed, the dentist had no problem with all 3 of them holding my hand whilst they numbed me up and then they headed out.

They mucked up on time info, that should be pointed out, but it's very unclear if rights and laws come into it.
post #19 of 34
Another late reply and an expert dental patient here (unfortunately). I too would have gone out to the waiting area to nurse. The thing is, you can't know if they were discriminating against BF or just not allowing extra people in the patient areas.

I might even imagine that different insurance policies may state that no one other than patients may be in clinic areas for liability purposes. I might imagine this would differ in a peds dental clinic though.

I do think they shouldn't have one come in 30 minutes early to fill out paperwork, that's just silly. Those forms only take 5 minutes or so to fill out.
post #20 of 34
Quote:
Originally Posted by babymommy2 View Post
I would add in something about the benefits of breastfeedign from the dental perspective, how it facilitates proper jaw development, etc.
Or, rather, the risks of not breastfeeding from the dental perspective. How by not breastfeeding it results in improper jaw development and increased risk of cavities and other dental issues in childhood and beyond.

People take "risks" to heart much better and faster than mere "benefits" because "benefits" implies that the alternative is normal, safe, "just fine," etc.
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