Changing The World, One Little Moment at a Time

Jul 09th 2010

As part of my childbirth educator certification process, I’ve had to attend some hospital classes to fulfill my observation hours.  Per the requirements, I sat in on a Breastfeeding class and a Newborn Care Class.  Luckily my local hospital has a slew of these classes, and the director had no problem letting me crash two of them.  (On a side-note, she couldn’t get her head around the fact that I was certifying as a childbirth educator, and kept insisting that I was a nursing student.  I stopped bothering to correct her because it didn’t matter to me what she called me as long as I was able to take the class for free.)

The first up was the Breastfeeding class, and I figured that since it was in a hospital, I’d be doing a lot of face-palming while I was there.  In my area, hospitals are notoriously misinformed about breastfeeding, and it’s not uncommon to find the L&D nurses, OBs, and pediatricians who give moms terrible breastfeeding advice.  Booby-Traps Galore. As a matter of fact, a friend of mine just delivered and the on-call pediatrician told her that the newborn baby should sleep 6 hours and that she probably needed to formula feed for the first few days.  Thankfully her sister-in-law called me early in the morning and got a name of a good lactation consultant so we could try to undo the damage that Ped had just done.

But to my surprise and delight, the hospital I was taking this class at actually has a pretty strong lactation support program, and employs 5 full time IBCLC’s who are there 7 days a week. They also run a free weekly breastfeeding support group for moms who’ve delivered at that hospital, which is pretty great.  The instructor actually told the moms that there might be a lot of misinformation about breastfeeding floating around on the L&D floor, but they could always have an LC paged who could help them with whatever nursing struggles, and I was happy to hear that.

However, the class was not without its face-palm moments.  For starters, the IBCLC began her introduction to the class by saying “Oh, don’t worry, we’re not like those La Leche League people.”  Face-palm. And then she went on to say “And you should only use the lanolin we give you – don’t use any of that “Angel Mama Baby-whatever-they-call-it… who knows WHAT they put in that stuff!”  Face-palm some more.

I knew it wasn’t my place to say anything in this class, so I politely listened while she made those uninformed comments, and tried really hard to enjoy the good, evidence-based, pro-mother, pro-baby, pro-breastfeeding information she was giving out. There was far more of the latter than the former, so I walked away from the class without too many bruises on my forehead.

Then came the baby-care class.  Different instructor – same hospital.  Here’s where I’ll tell you that between those two instructors, they had 8 children – and not a single vaginal birth.  8 cesareans. Ladies & Gentlemen, this is the world we now live in.

The second instructor had also formula-fed her three children.  She discussed breastfeeding as in “Yeah, that’s the best thing to do, but now I’m going to address you as though you’re all going to formula-feed your babies.”  She also said “Oh, any nurse on the floor can help you breastfeed – you don’t need to call the Lactation Consultant.”  And again, I sat idly by, listening, face-palming, but doing what I came there to do, which was observe.

Then she said something that was so factually inaccurate that I nearly leapt out of my seat.  When discussing babywash, she pointed out to the class that she was sending them all home with a sample of Johnson & Johnson’s baby wash because, as she said, that was the “best stuff on the market.”  Okay, that’s not the part that made me leap - it was what came next.

She then brought up CosmeticsDatabase.com – the place where you can type in the name of just about any shampoo, lotion, or other bodycare product and find out exactly how toxic it is.  So here is where cognitive dissonance is causing me a mild headache.  I’m trying to reconcile how exactly she thinks that Johnson & Johnson is the “best on the market” when she clearly knows about CosmeticsDatabase, which rates it as one of THE MOST TOXIC.  Then, I get my answer.

Next she tells the class “Yes, just type in the name of the product you’re looking for, and it will tell you how toxic it is – 0 is the most toxic, and 10 is the least toxic.”

I swear, I truly think that a little piece of my brain exploded.  Her statement to the class was 100% factually inaccurate.  This is not my opinion, or my interpretation, or my bias — it is a matter of absolutely fact that her statement was false.  On CosmeticsDatabase.com, 0 is the LEAST toxic, and 10 is the MOST toxic.

Try to imagine my whole face flushing, my heart starts racing, knowing that I cannot raise my hand, interrupt her, and correct her.  In any other class, I would have done exactly that.  But in this class it was absolutely not my place.  So my mind swirled for 10 minutes trying to come up with what I could do to set her straight.  Finally, she called a break, and I decided that I was going to take her aside and ask her if I had heard her incorrectly.

So I did just that.  I said “I’m sorry, I think I misheard you – did you say that 0 was the worst rating on CosmeticsDatabase?” to which she replied “Yep, that’s right!”  And I just – in my most welcoming, professional, and polite voice said “No, actually, it’s the opposite.”

Here’s where I’m thinking she’s going to deck me, but she didn’t.  She gasped and recoiled and said “What??  It is?!” and then I launched into everything I knew about that website and their safety ratings, and how Johnson & Johnson had broken my son into hives.  She responded by saying that her director had given all the instructors at the hospital the information about CosmeticsDatabase, so they were all giving out the wrong information, without ever having looked at the site to see for themselves.

Then, very luckily, I also remembered that their sister hospital is one of the few hospitals in the entire country to actually use Earth Mama Angel Baby products INSTEAD of the toxic stuff.  So I brought that up and said “Yes, and guess what!  Your Sister Hospital B uses EMAB, and this is why…”  She was fascinated, and then seemed deeply disturbed that her hospital wasn’t doing the same as Hospital B.  She started recounting tales of her own children breaking out in rashes, and wondered if that Johnson’s stuff may have been the cause.  Then she wrote down the Earth Mama Angel Baby website, and said that she’d talk to the director to see if they could get Hospital B to send over some of their Earth Mama Angel Baby stock.

I thanked her for her time, and walked away feeling like I had made a real difference.  The universe put me in that class to stop the flow of that bad information.  It may be a teeny-tiny, possibly insignificant moment, but I know that it changed what those students heard that day because when the class came back, she corrected herself to them.

I’ve been meaning to tell this story for a few weeks, but then tonight I saw an awesome post by The Marketing Mama detailing how she was able to get a mall to change their restroom sign to something less problematic for nursing mothers.  That post made me realize that so many of us really want to make a difference, and we do hold that power if we only just speak up a little.  It may be a small thing to some people, but changing a symbol on a sign, or correcting the information being given out in a baby care class, does go a long way to shifting attitudes.

Next time you’re wondering whether your voice can make a difference, just remember this:

“Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has.” – Margaret Mead.

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Think of me as I make the first biggest choice of my life. I am to go into the hospital tonight to be induced. My midwife is going to do a catheter. It is technically called a Cervical occluding double balloon catheter. No drugs. I am so nervous. I never ask for people to think of me, but I was hoping…I could get a few happy thoughts. I have a doula, she is wonderful. And I love my midwife. Thank you for all you do Gina, you inspire me, I feel like I can do this because I have strong women to look up to.

it's good to hear a positive reaction to gentle correction! i'm so thankful for the resources, support and friends i have who point me in the right direction when needed. so many new moms still don't seem to get that.

Go Gina!

Also, as one of those 'La Leche League' people, I have to say I really hate being referred to that way. I understand that some people have some really negative experiences with LLL. That sucks. But I know that many people, such as myself, credit it with seeing them through. Why turn a whole room full of moms-to-be off of an organization that can potentially help them, and for free?

(But I totally get why you couldn't say anything about it.)

It really bugs me when people complain about LLL and leaders. I've met maybe 10 and of them, just one was an asshole, the rest: gentle and encouraging and wonderful.

I have a good friend who's a leader and she's told me she gets calls at all hours from moms even though they know it's her home line (often wanting to know if they need to pump and dump after they had one glass of wine) so the obnoxious pendulum swings both ways.

Awesome!

L&D nurses can be so uninformed. One looked at my colostrum in a bottle and said, "We won't be able to do anything with that much milk ... and I think it's bad. Milk is white." Fortunately, I was able to get the head nurse to page someone from the NICU.

What a great/horrible story!! I'm a midwife in what has to be the hardest to change hospital with the least desirous of change clientele in the whole world and my head is dented from beating it on the wall. You were patient and then pounced...lol!!!

Well, I was GOING to say "Gee, I wish my hospital would use EMAB instead of J&J" but then I remembered, I'll not be having any more babies in hospitals, so I an wash 'em with whatever I want. :-)

Wow, good for you! And good for the instructor for taking it so well! I have to believe that most people involved in childbirth have good intentions, but are working with a lot of poor information. And honestly, it just takes one person to make a difference. And this time that was you!

YAY!!! Love it... As I was reading I was thinking you are a better woman than me cause I probably would have raised my hand and in my most innocent voice asked... "hmm I have been on that website and i remember seeing that the rankings mean XYZ..." I just can't seem to hold my tongue sometimes!! LOL Your way probably did a better service. My way would have made her defensive. Thanks for reminding me sometimes keeping quiet can make the difference :-)

thank you for writing this!!! I too am studying for my re-certification for childbirth education classes and La Leche League Leader training and I hope I can make a difference in this small "hick" community that I live in.

This post (and especially that last quote) actually gave me chills. Thanks for making a difference.

Great Post!! I understand why you have to be the silent observer but so hard, and what I great way to address the misinformation. I love the "Face-Palm" descriptions... I am a La Leche League leader and I never quite understood what kind of people I am supposedly representing. Eh, I guess it's all relative.

I am heading over to check out that database - i've not heard of it before.

I honestly do not know how you kept quiet. I am impressed - I would have been dancing and squirming in my seat like I had to go pee! Wonderful post, great message. And, if you want a dissertation on the CARP in Johnson and Johnson, I've got a post on it: http://www.thesmartmama.com/ii-46/

Thank you for this post. I had never heard of the cosmetic database. I have a child with highly sensitive skin, and that website is a godsend. I was getting ready to switch her bath products, and found out they are probably the best ones for her. ?

On another note…thanks for reminding us all to not take a "professionals" words as truthful information. So many times we take others as advice, and it may be correct but I think we owe it to our children to check it out before believing it!

I got tingles reading this. How wonderful that she actually listened to you. I wonder if you hadn't been a student if she would have done the same thing? I feel so negative suggesting such a thing, but I bet your status as a "nursing student" gave you some pull that just being a mom might not have. Good job!

I don't know how you were able to stay calm as long as you did, but glad! I want to take the classes at our hospital too just to see what thet 'teach' people.

Good job!

Hi Gina,

I'm always interested in reading your stories, this is no exception! I gave birth in probably what most folks would consider a "moderately" baby friendly hospital, and while there was one huge booby trap (a VERY nice nurse who took me aside, soto vocce, and said "listen, don't tell lactation I told you this, but your baby is hungry and that's why he's nursing for an hour at a time. He wants more milk. I supplemented all of mine at night. Formula won't kill him." But, other than that, the nurses, lactation consultants, and my OB and my son's pediatrician (who I had hand-picked because of her support for natural parenting and breastfeeding) were all not just supportive but extremely, extremely helpful.

I didn't take any childbirth classes at all (I know, shocking) but rather just self-educated. I relied heavily on the Sears "Birth" book.

Anyway, I feel like friends in the middle of America and the extreme North and South face greater booby traps than we do here on the East Coast / mid-Atlantic and the West Coast. It's easier for those of us who had access to (relatively) informed care to avoid those incidents.

Nonetheless, the c-section rate at the hospital where I gave birth (Sibley Memorial) is over 40 percent (lots of high risk moms, though) and the nurse who attended my natural childbirth actually said it was the first one she had ever seen. (She was the best, best, best, best, best though and I loved her!)

Have a great weekend!

Faye

Great job! Praise in public, give input in private. Just like with kids, right?

And Re: Emily and what many women want, I'm an independent Lamaze Certified Childbirth Educator, give classes at my local hospital, and there are a good group of women who want more than a 3 hour class. I do classes every other month with between 2 - 14 moms (with partners) in the class.

The local OBs are supportive, with flyers in their offices and in the packets of info they give to newly expectant mothers (they call me to ask for more when they run out!) I chose Lamaze due to name recognition, their approach to birth, and being able to get a wide variety of moms to take the class. I have people planning an epidural, which is fine -- I show them how to do it and lessen the chance of a cesarean. Others take the class planning on natural comfort techniques and get a doula, too. And partners rate my classes as highly as the moms.

Most women don't want to be messed with, they just don't know as much about what actually constitutes "being messed with" when it comes to childbirth. Everyone in the class learns a whole lot regardless of the kind of experience they are planning on. For anyone who might want to get certified as an educator, go for it. Look at your market. And strongly consider Lamaze!

Lucy, you nailed it. "Praise in public, give input in private."

Gina was so smart not to call out this woman on her mistake in public. At best, she'd have embarrassed her. At worst, pissed her off.

LOVE this post. I don't know HOW you sat in silence, I'd of been just like yo--face flushed and heart racing. Thank goodness you were able to say something and she listened. I'm shocked that the director would teach them to say that... but I probably shouldn't be that surprised. Sad.

And now I'm thinking back to the "preparing for childbirth" class I took at the hospital.. before I "knew anything".. and remembering the ridiculous things we were taught. That you HAD to have an IV during labor, that you should get an epidural ("everyone does, why wouldn't you?") GAH. I really want to get certification someday. But I wonder... how many first time preggos out there really prefer to take a class by an educator (like at your Birthing Babes) rather than by a nurse at a hospital? I'm frustrated by how many women seem to not care.

That's a great story! I was worried there was some conspiracy to teach people the wrong way to read that site, then leading to a world full of Johnson and Johnsons- it was so refreshing to hear that she was interested and engaged in your feedback.

BTW I totally flush completely when things like that happen- at my workplace prior to having kids I'd have my team members say, "oh no, Amy's neck is getting all red and splotchy- something's up."

I just wanted to say THANK YOU! I have been exclusively BF my 2mnth old daughter; at the start it was so impossibly hard and frustrating- I stumbled upon your blog at the perfect moment.
It seems very odd to me, but I truly contribute part of my BF success to your words of encouragement. Thank-you for standing up. You are truly a role model and a Woman to be admired. :)

Wow - what a great story. How frustrating to have to sit there when she was giving such inaccurate information! But you made a HUGE difference by correcting her in such a polite, respectful manner... wow.

And thank you for including my post about the mall sign. It may seem like a small deal to some people, but I think the little things really add up. :)

Reading your recounting of all the horribly off the mark information made my heart beat faster and my palms get all sweaty. I am continually shocked at the lack of support and damaging info we breastfeeding moms get from "professionals." My son was in the NICU after birth and the nurses there were shockingly unsupportive. They pushed formula and told me I was taking too long trying to breastfeed my baby. He's 11 mo old (and still nursing!) and it still makes me sick to think of my experience. It was only because I was educated before hand that I knew to ignore their advice. What about all of those other moms who don't know any better?

Thank you for setting her straight! I'm quite shocked that she responded positively and didn't try to defend her director but obviously pleased that she did. Your small effort will make a huge ripple as she passes that info along to her director and other instructors and of course the moms attending the classes.

BRAVO!! I, too, would have been itching to call her out on the spot, but thanks to your composure and professionalism, I think you got your point across in the best way possible, and it sounds like she was really receptive to what you had to say. I try to remember examples like this when I get really fired up/pissed off about things. You handled that perfectly.

Good for you! A friend of mine is attending childbirth classes right now and I almost puked when she told me that the instructor said, "As far as the epidural goes, GET IT! Any other questions?" I guess she thought it was funny, but to someone who has had a stalled labor in part due to an epidural, not so much. Grrrr!

Great story! Speaking up can make a difference! Glad she was open to hearing you.

After experiencing my hospital's Preparation for childbirth class I didn't bother going to the Baby Care class- I knew there just wasn't much point. The breastfeeding class was okay, though. Although I honestly am not sure that it was worth it since I was already researching things myself.

ugh, don't get me started on that Preparation for Childbirth class, though....that was truly a head-smacking one.

I can't believe you sat quietly for as long as you did :)

Not to be a conspiracy theorist, but do you think the hospital has a relationship with J&J and told the staff the backwards information on purpose so they would continue to praise and support the products? Or maybe J&J gave the hospital the information and none of the directors bothered to look it up before passing it along? Maybe I'm totally off the mark, but you have to wonder . . .

I love hearing stories like this. Just goes to show that most people do want to do the right thing they just don't have the information to do it.

Well that's just awesome! I keep back buttoning as my brain is now numb, I'll try making an intelligent comment tomorrow.

This gave me goosebumps! Good for you - And this also makes me think twice about it when people are misinformed; as in, maybe they got their bad info from someone they trust or even a superior.

It is amazing what doing your own research can teach you, some trivial and some so important. For instance, I had heard so so many rave reviews of nipple creams only to find out that most lanolin products probably contain pesticides and can cause allergic reactions. I also read that "tear free" baby shampoo ("gentle as pure water") is only tear free because it has an extra ingredient that stops eyes from tearing. I think my head about exploded when I read that, and yet I KNOW someone will be getting me a J&J gift basket at my shower.

Can't wait to hear more about your biz endeavors!

"[T]he on-call pediatrician told her that the newborn baby should sleep 6 hours and that she probably needed to formula feed for the first few days."

Uh, smoke would have been shooting out my ears. And nose. And probably other orifices as well. I will admire you forever for being able to keep your cool on that one.

Anyway, again, this was an awesome tale. Way to take the "teachable moment" and approach it in such a positive way - it took guts and aplomb. You really did just make a big difference!

Oh, I wasn't there for that - my friend was. Smoke was definitely shooting out of her ears! She said as soon as the Ped left the room, she was like "OMG do not listen to ANYTHING that guy just said!"

Wow! What an experience!!! Thanks so much for sharing. Next time I hear of a baby breaking out into rashes I will pass that info on. Kudos to you for finding a way to speak up!!!

:^)