Marcia Glass writes:
< However the exact expectations for these new  positions varies, often by 
setting.  An LC in hospital is expected to  handle complicated problems as well 
as normal situations. The WIC-type LC's  often just do counseling and aren't 
prepared to handle more complicated  situations.  I may be wrong of course, but 
I doubt that many of them use  SNS's and follow up premie moms and so on.  
They would probably refer them  out just as lay counselors should and do.  There 
is a pyramid of sorts, of  lactation helpers.>




In my case, I have a contract with WIC agencies in my city and see ONLY  
those mothers who are high risk and having complicated problems.  I've  help train 
many peer counselors to handle the basics, and they then refer  what they 
cannot handle to me.
 
Kathy  Parkes, RN, IBCLC, RLC
The Lactation Connection (TLC) Inc.
San Antonio,  TX

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