Maureen
I think a breastfeeder educator could round on moms, teach routine bf stuff,
and assist w/ positioning, offer support etc. She should be carefully
interviewed to determine that she knows when to refer to an ibclc. Perhaps
she could talk by phone to an ibclc each day so that appropriate follow up
could be made to the ibclc on a case by case basis. . Not sure this is
practical, not sure how many moms she would see each day.She could have
guidelines or 'standing orders' if you will to refer certain cases, e.g.
premies, teen moms, etc She should document her hours and hopefully would
want to pursue ibclc certification at some point. I am the only ibclc in a
hospital with 1200 births per year and an initiation rate of 45-50%. I work
3 days per week, so there is no ibclc or anything even close on 4 days per
week. I would welcome a breastfeeding educator if he/she were the right
person, meaning knowledgeable enough, willing to learn, knows when to refer.

Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA




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