...and don't forget to include La Leche League, peer to peer support, WIC breastfeeding counselors etc. in your ideal model. I don't believe that every mother needs an IBCLC to succeed at breastfeeding.
 
Warmly,
 
Holly McSpadden, IBCLC

 
 
Holly McSpadden IBCLC
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>>> Mary Wagner-Davis             <[log in to unmask]> 5/2/2014 1:44 AM >>>
>I think what is going to happen is that more than one lactation consult will take place at concurrently over a 1 or 2 hour period.  Seeing 2 mothers at once for an hour, our 3-4 mothers at once for 2 hours, will allow for the 30 minute insurance billing and the appropriate amount of time for each mother. I know this is not an ideal situation, but, it still provides a hands on session for the LC and the mothers. It would work nicely if the LC would have the opportunity of working with precepting an intern who could offer another set of eyes while the LC was discussing specifics of the feeding plan with another mother. We have to work this way at Kaiser, it is interesting how the mothers are very accepting of not having a direct one-to-one with the LC and they form a mini support group during the consult. >



Having been there done that, MNHO is that this description is definitely less than ideal.  If it's a simple breastfeeding issue--minimal adjustment to latch, milk supply, etc.  i still feel uncomfortable/think it is not appropriate discussing more sensitive issues with other people in the room.  Insufficient glandular tissue, hormonal issues, trying to show someone how to use an SNS, etc. it's just really difficult to do those things when there are 3 or 4 other women in the room.  or someone who's experiencing postpartum depression.  Now maybe if the setup provides for privacy . . . 


My fantasy is still that there will be an IBCLC who will see every mother, providing basic information, triaging potential problems; then a drop-in clinic where mothers can come with whatever concerns they might have; then appointments that can be made either by mother or provider either by preference or for more complicated issues.


Mary Wagner-Davis, MS, IBCLC
Roseville, CA

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