Hello, wise ones!

I am one of several lactation consultants who have been lurking in the background for quite some time.  While I have e-mailed some of you individually, I have never addressed the group as a whole.  I work as the only LC in a busy hospital with 250 deliveries a month and a 70% breastfeeding initiation rate.   I will be taking the IBCLC exam for the first time this year.

Management recently announced that we will be attempting to send our c-section patients home on day two.  I have a hunch this is due to a never-ending bed shortage and/or staffing issues.  I fear this will negatively effect breastfeeding, especially since we do not yet have 7-day-a-week LC coverage.  Is anyone on the list already doing this?  Can anyone point out an evidence-based study to show how early discharge of c-section patients impacts breastfeeding?  We do not offer outpatient lactation visits or any home visitation program at this time.

Tanya E. Cheney, RN, BSN, CCE
Lactation Consultant 
Hampton Roads Area of Virginia






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