IBCLC's: I Need Your Input Please (Long)
A little back story: Apparently it is the consensus that our IBCLC (who is also one of our midwives) is "too rigid" because (they believe) she thinks there is never any reason to supplement with formula.
I don't know the circumstances behind the situation, but there was an instance where a baby had to be sent to NICU for a blood sugar of 17 essentially because the IBCLC said not to supplement. From the bits and pieces that I've heard, I'm assuming they think it's the IBCLC's fault.
Anyway, long story short, our unit has decided to create a breastfeeding committee, which I will be a part of. Our IBCLC (our only one, by the way) does not get paid any extra for helping people, she does it on her own time to help people be successful with breastfeeding. She's really hurt by all this. This committee will essentially 'replace' any consultations that would have been made to her.
Along with 4 OB nurses, there will be 2 NICU nurses. 1 OB nurse and 1 NICU nurse attended a course to be a Lactation Counselor. 2 other OB nurses ( one being myself) attended a course for a Certified Lactation Specialist. Today was our first meeting. I found out that the NICU nurses don't require any sort of breastfeeding training for their nurses because, "We've all breastfed before." This is coming from the head of the department. She also said they always help moms when they come over to nurse. Oh, and they use sugar water on the nipple to try to get baby to latch.
That was not my experience when I worked over there one day when they were short. The nurse I was helping acted like breastfeeding was too big of a hassle and took too much time to bother with. From what I've noticed, the NICU is very rigid with their schedules for their babies. Baby A eats at 8-11-2-5. If mom is not there precisely at feeding time (or before), baby gets a bottle.
Ok, I'm rambling now! I'm sorry this is sooo long. What I'm looking for is up to date info from credible sources of how/when/what reasons is it necessary to supplement, when is not ok to breastfeed when mom is taking illicit drugs (i.e. meth, heroine, etc.), pacifier use. Anything you want to post here (info or websites), or just point me in the right direction would be much appreciated.
Thank you so much!!