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Bonjour Jan,

I would like to understand better the way you see an

IBCLC should work. You say that most of what we do in

lactation in not evidence-based. How is that ?

Odile Lapointe

IBCLC in Montreal, Canada

While this is a good standard, Odile, unless there is

a PRIMARY reference

(that is, cited from some sort of study), it isn't

worth much, just because it

is printed in a book. I'm not refuting the reference

-- just that " BF Answer

Book, pg 60 " doesn't mean anything unless it is citing

a specific reference

that is a valid study. In which case, cite the primary

reference, not the

secondary.I

That said, please keep in mind that much of what we do

in lactation is NOT

evidence based -- simply because we don't have the

evidence. So, we may

actually say things to mothers or HCPs -- " There is no

specific reference on this

condition/item/concern/whatever, but IBCLCs have

found....or " I have found in

my experience " or.... that " XYZ " is true.

I use this a LOT, especially when moms are asking me

about storing

breastmilk... I get every variation of question on the

planet, so have to resort to

the " there is no study that refers to your specific

question,but.... "

Warmly,

Jan Barger, RN, MA, IBCLC RLC

__________________________________________________________

Lèche-vitrine ou lèche-écran ?

magasinage.yahoo.ca

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