Dr Mimi shares that it is not a standard in her community to see infants
48-72 hrs post hospital d/c. It is not a standard in my community either
(New Orleans LA, USA). The standard is 2 wks post d/c. What astounds me is
that even vulnerable and poorly feeding babies, babies w/ jaundice, etc are
usually not seen til 2 wks.
What I think would work exceedingly well would be a safety net of nurses
and/or ibclc's to see the babies thru a clinic type setting at the 48-72 hr
point. I beleive I have heard Molly Pessl of Evergreen Hospital in
Washington state USA talk about their very successful nurse run clinic. This
would be a super use of nurses/ibclcs (whichever was available and of course
the ibclc's to see the bf problems), a great place to train other health
care providers including physicians, and a wonderful resource for families.
Of course there has to be a physician or other primary provider on board to
refer problems to. Why even the formula fed babies and thier parents need
some early f/u. We all know that the moms do not absorb much of the teaching
they recieve in hospital those very early days after birth.

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

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