I really enjoyed reading Kathy Boggs' sensible approach to breastfeeding
establishment  in the Nicu. It sounded very much like the approach posted by
Maureen Allen back a few months ago and used here at Brigham and Womens in
Boston.
My question to them and others in NICUs involves brfdng. f/u once discharged.
It is my experience having worked in the Nicu and currently through my work
as a visiting nurse that there is little thought given to followup. This
happens for many reasons. Options are spotty at best. Some Nicus offer f/u
telephone support, some are experimenting with "walkin" center options. Most
will provide the family with a telephone list of possible community supports
ranging from LLL to private practice LCs.  Some do use the visiting nurse
option with the hope that it will at least be a nurse "familiar" with
breastfdng issues but there is little or no continuity of care.
I am wondering what goes on elsewhere. Are there any great models out there?
If one could imagine a highly functioning system, what would it be?
Thanks!
Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts

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