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Discussion Starter · #1 ·
Lactation Conultants?<br><br>
I have a friend who just had a baby. She's been supplementing because her lactation consultant from the hospital told her to, to "make sure he's getting enough". Why do they tell women to do this? Her baby is six days old, and her milk is not in yet. I tried to tactfully suggest that the LC was wrong to suggest doing this, and gave her the # for an LC I trust to give good info, but what else can I do without sounding preachy?
 

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That sounds very irresponsible of the LC. She is almost setting her up to fail. Sounds like she needs a refresher course in breastfeeding 101.
 

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Maybe the hospital wanted to give lip service to breastfeeding, so they had one of their nurses start giving advice about breastfeeding and call herself a "lactation consultant."<br><br>
But maybe that hospital's staff/culture/higher ups didn't truly care about breastfeeding, so maybe they didn't really require that she actually be certified or well educated.<br><br>
Of course this is all just a guess.<br><br>
Has she checked out <a href="http://www.kellymom.com" target="_blank">http://www.kellymom.com</a><br>
?<br>
or La Leche League (called a leader, gone to a meeting?)<br><a href="http://www.lalecheleague.org" target="_blank">http://www.lalecheleague.org</a>
 

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That's what happened to me. The "professionals" at the hospital told me I could supp with formula after each nursing session to "make sure he would be getting enough" - and me in my dazed and confused state, actually believed them. They told me it would not interfere with my breastfeeding progress. Well, they lied. Big fat stupid liars. I am now no longer breastfeeding due to their "wisdom", and the general lack of support in my community for breastfeeding problems.
 

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It seems very common in hospitals, to suggest supplimenting. Is she sure it was an actual LC that gave her the advice? I know that when I was in the hospital, recovering from my c-section, my non-stop nursing my baby wouldn't stop screaming because the colostrum wasn't satisfying her. I had an "LC" come in with a bottle and tell me that I should feed her an ounce to fill her tummy, while waiting for the milk to come in. I was told that my baby was so big (8lbs, 6oz) that she wanted milk right away, but because of the c-section, my milk was slow coming in. She came in later with a second bottle, and thankfully, the REAL LC happened to be in working with me at the time. The LC told the nurse off (she wasn't an LC at all! But I didn't know that!), and said that formula wasn't going to help my milk come in. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
So my daughter had a single ounce of formula during my groggy, out-of-it hospital stay. DH was fuming when he found out about it, lol. He only wants the best for his kiddos. :p
 

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PS It happened to me too. (The bad advice, although they didn't call themselves LC's.)
 

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Nope, not to me.<br><br>
The Lactation Consultant who came to my home was awesome. DD and I were having terrible latch problems and I had been supplementing with a bit of formula just to make sure she was getting calories.<br><br>
The lactation consultant worked on our latch and wrote out a plan for me cutting out the formula entirely within 1-2 days as I build my milk supply up, and exclusively breastfeeding from then on. She was very helpful.<br><br>
I guess it depends on who you get.<br><br>
Edited to add: I found out later that she was co-author of this book:<br><a href="http://www.amazon.com/gp/redirect.html?ie=UTF8&linkCode=ur2&camp=1789&creative=9325&tag=motheringhud-20&location=http%3A%2F%2Fwww.amazon.com%2Fgp%2Fproduct%2F074321241X%2Fqid%3D1143170354%2Fsr%3D2-1%2Fref%3Dpd_bbs_b_2_1%2F103-5036309-4899833%3Fs%3Dbooks%26v%3Dglance%26n%3D283155" target="_blank">http://www.amazon.com/gp/product/074...lance&n=283155</a>
 

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<div>Originally Posted by <strong>EvansMomma</strong></div>
<div style="font-style:italic;">That's what happened to me. The "professionals" at the hospital told me I could supp with formula after each nursing session to "make sure he would be getting enough" - and me in my dazed and confused state, actually believed them. They told me it would not interfere with my breastfeeding progress. Well, they lied. Big fat stupid liars. I am now no longer breastfeeding due to their "wisdom", and the general lack of support in my community for breastfeeding problems.</div>
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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> I just wanted to say, EvansMomma, I am so sorry that happened to you. It happened to me too ... and it was with my second baby, so I feel like I should have known better. That baby's 2 1/2 now and I still feel a lot of doubt about decisions that I made regarding supplementation and their effect on breastfeeding him.
 

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Thanks Aiti!<br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I am actually considering relactating and giving it another good shot - and then I can feel good that I really did try my very very best to give Evan the best start in life. If it doesn't work, then at least I'll know I tried right?<br><br>
Ok sorry for hijacking the thread. Just wanted to thank Aiti for her kind words.
 

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If someone is looking or talking with a LC they need to find out if they are just calling them selfs a LC or if they are a IBCLC thoes IMO are the only "real" lactation consultant... b/c any one can actully call them selfs a LC, but they can't call them selfs and IBCLC with out the proper classes/hours/ work and exam!
 

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Unfortunately, I'm very weary of hospital LC's. (if they are that). Even when DD was in there I brough my OWN IBCLC with me. To their dislike. But, I knew it was the right move when I was cracked, adn bleeding (thanks to supplementation/bad latch) and asked the LC in there what I could do. She responded "pump, don't feed, or just put up with the pain".
 

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I'm an LC, (a <b>real</b> LC lol) and there are only a handful of cases I can recall where I had to resort to having a mom supplement with formula temporarily. There are indeed cases where you absolutely have to find a substitute and not all moms are willing to or can use donated/purchased human milk.<br><br>
But the "LC" in the OP here sounds like she isn't much of an LC at all. I would try to get her to see a real IBCLC or someone qualified to help with early nursing issues like a LLL leader. This early in the game it's easy to sway things back to EBF.
 

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Wow, I've never had a LC tell me that and my kids are born tongue tied, which makes latching on harder....I fed dd with a syringe and was a mess...she ended up FF after about 2-3 wks. Ds1 had issues latching, but the hospital LC was a big help in getting our nursing going. and Ds2 was fed by a cup when I was post-op and he was upset when we tried nursing AND BM in a bottle! Piggy wanted it faster, in a cup! All the LCs I dealt with said NOT to supplement.
 

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I think sometimes a nurse gets the title LC just because if someone needs to "consult someone about lactation", she's teh one that gets sent. The nurses and LC at my hospital kept telling me that the pain I was describing was "normal" and that "it's going to hurt until your nipples get used to it." I told them that I had gone through 25 hours of labor plus 2 hours of pushing and I knew what pain was. If this was how it was supposed to feel, then no woman would ever BF.<br><br>
Anyway, I finally found an LC that was supportive and listened to me. She did suggest supplementing, but only because my nipples were so raw that they literally scabbed up after I gave them a rest for 24 hours (I still pumped and gave DD everything I could from pumping). I think I may have supplemented longer than I needed to, but only because DD was such a comfort nurser that I thought she wasn't getting enough. Turns out, she just REALLY likes to nurse. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"><br><br>
She's 27 mo now and still likes to have her "jug juice". <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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Could there be a medical indication for supplementing? My understanding is that they recommend it if baby looses 10% or more of his/her birthweight. Quinn lost 9% and the post partum nurse kind of pushed a couple bottles of formula and a medicine cup on me. I told her I really didn't want to supplement unless it was absolutely necessary, and she tried to talk me into it by reassuring me that using the cup would avoid nipple confusion if that was what I was concerned about. I didn't argue with her, but I didn't use the formula either because what I was really concerned about was that intruducing formula changes the gut ph for months at minimum and would thus prevent him from getting the full benefits of my milk for MONTHS. My milk came in shortly thereafter, and he started gaining promptly without a drop of formula, but I know that if I wasn't as conscientious, I would have supplemented. I'm glad I knew better...but shame on her for pushing it on me prematurely.<br><br>
Jen
 

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Discussion Starter · #16 ·
There is no medical reason for it-they told her to supplement form day 1. I had my first baby at the same hospital, and had a crappy LC, too, but I knew better. I pretty much ignored everything she told me. But my friend doesn't know any better, and is afraid not to do what they tell her, because she doesn't want to make a mistake. I am praying that she'll call my LC, so she can get some good advice. I am just so frustrated that they give such bad advice. It's like they try to sabotage you from the start! I actually had another friend who gave birth in the same hospital and was given the same advice, and continually had supply issues later. She ended up weaning at 2 months. I don't want that to happen with this friend. BTW, her baby is not even that hungry. He is only wanting to nurse every 3-4 hrs, and she usually has to wake him up.
 

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Sadly it doesn't surprise me. Last July when my son was born the "LC" told me tha tI would HAVE to supplement because he was a big baby (only 11lb). Luckily I knew that I'd be fine but it was a huge chore convincing her of that, especially when he lost almost a pound of water weight (he was extremely swollen at birth). I am fortunate enough to have a wonderful doctor who told her exactly what I had been saying but I hate to think what would have happened if I didn't know what I was talking about. Those poor moms who have nowhere else to turn...
 

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My sis came home from the hospital giving her newborn formula because he was "born starving" and her milk hadn't come in yet. I asked her who told her he was starving and she said the hospital LC. I wrote the hospital a NASTY letter but never heard back. Where do these people get their training, Babycenter.com?
 

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MommyBear said:
Last July when my son was born the "LC" told me tha tI would HAVE to supplement because he was a big baby (only 11lb). /QUOTE]<br><br>
ONLY 11 lbs??!! Gulp! (As I sit her nursing my 19 week old kid who is 11 lbs NOW and try to imagine giving birth to this huge creature in my arms . . . !) <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> Hats off to you!!!<br><br>
But back to the topic at hand . . . I had formula sort of pushed on me by an IBCLC. I had a homebirth but went to the hospital where I used to work at 4 days b/c I needed help with the latch due to cracked and bruised nipples. The LC, who I liked previously, thought the baby was "very jaundiced" (which she wasn't, either in my opinion, my midwife's opinion or my ped's opinion) and we were having trouble with the nursing so she sort of pushed using an SNS with formula to give her a "jump start". And also pointed out that one of my breasts is "underdeveloped" and that I may not be able to produce enough milk. She pushed me to keep giving the formula even though I didn't feel good about it, to increase the amount of formula I was giving her, and to pump to try to stimulate my supply, and use the SNS--I ended up being a wreck for that whole week, in my vulnerable postpartum haze I thought I might actually have a primary lactation insufficiency, and I just had so much grief and stress that I could not believe it. By the time DD was about a week old I think my supply was being affected and I was actually by that time thinking that I might have to accept that my DD would be mostly formula fed and that I'd just do it with the SNS so she could get whatever breastmilk possible. My friend who's a midwife and breastfeeding goddess sort of did an intervention and came over and persuaded me that my LC was full of crap and that my baby would be fine if I cut out the formula and that I should quit the pumping/SNS/formula baloney cold turkey and just nurse the baby. That night the baby nursed 5 hours straight and has been exclusively breastfed since and is doing beautifully. But that IBCLC really seriously jeopardized the breastfeeding relationship. DD was very very fussy for a couple of months after that. At about 2 months I eliminated dairy from my diet and I realized that she is sensitive to it, it makes her fussy and gassy and unhappy. I wonder if being exposed to cow's milk formula was what sensitized her to it. I know that there are instances where it's appropriate and necessary to give some formula, but I think that in this case it was fear based and was the wrong call.
 

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I had an IBCLC who told me I would NEVER successfully BF fulltime sine I had Breast Red. surgery (without nipple removal) 3 years before. She was the NICU IBCLC and has never told a mother that they could BF <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: In fact, I can credit her with destroying the early months of DS and I's BFing relationship, but I decided to perservere and at 15 mos. old DS nurses like a champ and I make milk like a human cow! I could BF twins no problem. I made a formal complaint, but it had no effect, so I plan to go see her with DS one day soon (particularly if I get the BFP soon) and tell her about how well we've done and my plans to tandem nurse, and let her know I've started the process to file a formal complaint with the IBCLC peeps so that her license is revoked until she is actually a BFIng advocate. Sorry, just a bit bitter as she threatened to remove DS from my physical cusotdy (which is illegal) and force feed formula if I tried to leave AMA after DS gained 3 oz. in a day (he was birthweight plus by a week). But to unhijack the thread, I don't know why. I don't understand being an IBCLC when you didn't breastfeed...not that its impossible since my midwife has never homebirthed herself due to a section w/ DS1, but I think mine was jealous of mom's who could (she was a diabetic_)
 
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