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re: What does a "lactation consultant" do?

Posted on 3/27/16 at 9:17 am to
Posted by LSU1NSEC
Member since Sep 2007
17243 posts
Posted on 3/27/16 at 9:17 am to
quote:

Correct me if I'm wrong, but I think there's a difference between a lactation consultant and a lactation nurse.


That's what I was curious about. Guess I was under the impression that nurses did this type of work. Had never heard the term "consultant" before.
Posted by Restomod
Member since Mar 2012
13493 posts
Posted on 3/27/16 at 9:22 am to
quote:

That's what I was curious about. Guess I was under the impression that nurses did this type of work. Had never heard the term "consultant" before.


Already responded to this several parts back, it is a RN.
Posted by LSU1NSEC
Member since Sep 2007
17243 posts
Posted on 3/27/16 at 9:24 am to
quote:

Already responded to this several parts back, it is a RN.


I read it. Thanks.
Posted by gatorhater08
Baton Rouge
Member since Apr 2011
2460 posts
Posted on 3/27/16 at 9:24 am to
quote:

It just means a lot of people have taken advantage of renewed interest in breastfeeding to game the insurance/healthcare system and new parents in general.


I never saw a bill for a lactation consultant. I'm pretty sure the hospital provides it free of charge. So it looks like the only people the lactation consultants are "getting over" on is the hospital.
Posted by dred24
In the south
Member since Nov 2006
1216 posts
Posted on 3/27/16 at 9:25 am to
Just figure it out yourself and supplement formula if needed.
If you can't get this you should have never had the baby in the first place. Consider putting it up for adoption before you really screw it up.
Posted by skinny domino
sebr
Member since Feb 2007
14348 posts
Posted on 3/27/16 at 9:26 am to
quote:

I can definitely tell which posters were breastfeed and which weren't......breastfeed babies have higher IQs
hmm, most of the PT board must have been on a simlac diet when they were babes.
Posted by LSU1NSEC
Member since Sep 2007
17243 posts
Posted on 3/27/16 at 9:28 am to
quote:

If you can't get this you should have never had the baby in the first place. Consider putting it up for adoption before you really screw it up.



I don't have kids hence my total ignorance about this type of thing.
Posted by Bama and Beer
Baldwin Co, AL
Member since Oct 2010
80950 posts
Posted on 3/27/16 at 9:31 am to
The lactation lady that came by while we were still in the hospital was a fricking nut.

I'm pretty sure she would have whipped out my wife's tit and sucked on it for her own mental well being.

She spilled maybe an ounce of breast milk on accident and you would have thought the world ended
Posted by cwil177
Baton Rouge
Member since Jun 2011
28449 posts
Posted on 3/27/16 at 9:33 am to
quote:

It does back up the idea that it is better, 6 months is a good threshold as well but the bulk of the immune boosting properties end with the ceased production of colostrum.


There are still lots of important antibodies in regular breast milk.
quote:

The links to increased IQ are fairly unscientific.

Not so sure unscientific is the word you're looking for here. The studies have looked at genetics and found genes that are linked to IQ increases of several points in people who were breastfed. This is one of the things you can find out through a 23andMe kit.

quote:

Babies in the nicu get formula. That is all you need to know. Breastmilk is better, but formula ain't far behind.

What does this tell us? That babies who are born at 27 weeks don't have mothers with enough milk production? Having worked in the NICU I can tell you this is a big part of it. But a lot of mothers still came by to breast feed and pump. Formula is great, but you can't replicate the immune system that mothers milk provides. Fwiw, I don't have kids and don't really have a dog in this breastfeeding fight. I work in the medical field and strongly believe that women should breastfeed if at all possible.
This post was edited on 3/27/16 at 9:38 am
Posted by CCTider
Member since Dec 2014
24190 posts
Posted on 3/27/16 at 9:41 am to
quote:

I hate to break the news to you guys, but breasts are there for a reason, not just as your playthings.




Damn. I thought they were like the sneeze guard at a salad bar.
Posted by LSU1NSEC
Member since Sep 2007
17243 posts
Posted on 3/27/16 at 9:45 am to
quote:

What does this tell us? That babies who are born at 27 weeks don't have mothers with enough milk production? Having worked in the NICU I can tell you this is a big part of it. But a lot of mothers still came by to breast feed and pump. Formula is great, but you can't replicate the immune system that mothers milk provides. Fwiw, I don't have kids and don't really have a dog in this breastfeeding fight. I work in the medical field and strongly believe that women should breastfeed if at all possible.



My observation with this involves calves nursing. I've seen orphaned calves feed a regular diet of formula vs calves who are allowed to nurse for , say 8 months. The difference is like night and day. The calves that nurse are incredibly more healthy than the orphaned calves.
Posted by Huey Lewis
BR
Member since Oct 2013
4660 posts
Posted on 3/27/16 at 9:46 am to
quote:

Beast milk is wayyyyyyyyy better than formula, not marginally better like you claim. And medical science backs me on this one. How does a baby get its immune system for the first six months? From mothers milk. Breast feeding has also been linked with increased IQ. Were you bottle fed?



LMAO don't be a dumbshit...

A baby "gets its immune system" by being born with an immune system. A baby's "immune system" isn't some sort of magical milk-based phenomenon. It's a series of tangible, observable biological processes carried out by organs and cells within the body. A normal human embryo will develop a spleen, thymus, lymph nodes and so forth...these things don't come from drinking titty milk.

After birth, some antibodies in the mother's system can transfer from breastmilk to a baby through the GI tract. The only well-documented effect of this is related to the development of a baby's gut flora.

From a practical standpoint, this is only really relevant for babies in terms of contaminated food and water sources during the early months of life when a baby wouldn't otherwise have the gut flora necessary for surviving explosive third world diarrhea. It actually has very little relevance for people in developed countries.


The IQ thing is bunk and has been proven false by numerous twins studies. It's basically an old wives' tale that grew out of flawed studies.
Posted by Bama and Beer
Baldwin Co, AL
Member since Oct 2010
80950 posts
Posted on 3/27/16 at 9:49 am to
A male lactation specialist

Posted by cwil177
Baton Rouge
Member since Jun 2011
28449 posts
Posted on 3/27/16 at 9:52 am to
quote:

LMAO don't be a dumbshit...
Keeping it classy
quote:

A baby "gets its immune system" by being born with an immune system.

Yes, a very underdeveloped one. The child relies on the mother for the first six months of life to supplement its immune system.
quote:

The IQ thing is bunk and has been proven false by numerous twins studies.

Not so sure about this but maybe you can provide some links to sway me.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 3/27/16 at 10:01 am to
quote:

Lactation Consultant - sounds interesting. Is there a college degree associated with this?


They're RN's with additional certifications that have to be renewed every 10 years.

They don't breastfeed for you, they teach mothers how to breastfeed and help them when there are issues with them producing milk or the baby consuming milk.
Posted by mdomingue
Lafayette, LA
Member since Nov 2010
30658 posts
Posted on 3/27/16 at 10:10 am to
quote:

Not so sure unscientific is the word you're looking for here


Unscientific is the word I was looking for though perhaps I may be mistaken in its use. I usually do not consider these studies scientific because there have been no real control groups in any studies I have looked at. That being said, there may be newer studies I am unaware of.

In terms of genetics, unless these these genetic (even if it is the presence of genetic triggers associated with IQ increases rather than actual differences in the genes, which I think is more likely) differences are noted in siblings, I'm not sure if that can be conclusive (how much is breastfeeding vs genetics passed on from parents).

quote:

There are still lots of important antibodies in regular breast milk.



There are but the bulk of the benefits are during the period when colostrum is produced, that is when the benefit is substantial vs marginal (though I do believe marginal may be underselling the benefits a little, but I was not the one who stated that anyway)

quote:

quote:


Babies in the nicu get formula. That is all you need to know. Breastmilk is better, but formula ain't far behind.


What does this tell us? That babies who are born at 27 weeks don't have mothers with enough milk production? Having worked in the NICU I can tell you this is a big part of it. But a lot of mothers still came by to breast feed and pump. Formula is great, but you can't replicate the immune system that mothers milk provides. Fwiw, I don't have kids and don't really have a dog in this breastfeeding fight. I work in the medical field and strongly believe that women should breastfeed if at all possible.




Not all babies in the NICU are premies or low birth weight babies, though most are. But not all babies in the NICU are formula fed either. Some moms go to the NICU to breastfeed, depending on the baby and many do pump. I haven't worked in a NICU but my youngest spend time in there (she was born with SVT, c section about 2 weeks early). She looked like a giant in there, my wife breast fed as best she could and pumped. But, as I discussed earlier, she has some issues that made that difficult plus she had to leave the hospital before our daughter so some supplementation with formula ended up happening.

quote:

Fwiw, I don't have kids and don't really have a dog in this breastfeeding fight. I work in the medical field and strongly believe that women should breastfeed if at all possible.




I actually agree with you but I have seen my wife on the receiving end of the condescension and I think that is what most of the negativity in these posts is aimed at.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 3/27/16 at 10:14 am to
quote:

I have seen my wife on the receiving end of the condescension and I think that is what most of the negativity in these posts is aimed at.


Basically as with every profession there are people that suck at their job and people who are really good and act with compassion.

Posted by mdomingue
Lafayette, LA
Member since Nov 2010
30658 posts
Posted on 3/27/16 at 10:21 am to
quote:

Basically as with every profession there are people that suck at their job and people who are really good and act with compassion.



Agreed but my experiences point to an attitude of condescension that comes from the people that have been driving this particular boat for many years now, the La Leche League. Of course, it's been 15 years since my youngest was born and perhaps they have righted that attitude by now, though their literature still seemed to have that underlying theme last I looked.

Though, the long term maternity nurses that double as Lactation Consultants seem to be spectacular example of the good side of this coin.
Posted by lsunurse
Member since Dec 2005
129037 posts
Posted on 3/27/16 at 10:21 am to
quote:

Babies in the NICU get formula. That is all you need to know. Breastmilk is better, but formula ain't far behind.



NICU at my hospital actually gives donor breastmilk sometimes to some of the premmies. There is a special freezer full of frozen donor milk that we have to document a certain way in our charting if a baby is on donor milk. Breast milk is the best......however I wish the breastfeeding nazis, aka lactation nurses, wouldn't make women feel so horrible if for whatever reason they don't choose to fully breastfeed by putting baby to breast.. Opting to just pump and bottle feed or giving formula isn't horrible options and for some mothers....is a better fit for them.
This post was edited on 3/27/16 at 10:24 am
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 3/27/16 at 10:26 am to
quote:

Though, the long term maternity nurses that double as Lactation Consultants seem to be spectacular example of the good side of this coin.


My MIL has been an RN for 37 years and a certified LC for almost 30.
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