Denise says:

<I think what is going to happen is that more than one lactation consult will take place at concurrently over a 1 or 2 hour period.>

I just read an article in the newest JHL about a system wherein a pediatrician, an LC and a psychologist together have a relatively longer session (maybe 4 hour time slots?) with a mother (fathers too) and baby, with the MD starting off with examining the baby, LC interspersing as needed as the baby's appetite/mother's problems shift the attention to getting the baby nursing ad lib, etc. Later, the MD leaves to go to a new mother (father)/baby dyad while the psychologist continues to use observations of general parental interaction, to wind up the visit, having been able to observe for any signs of stress, postnatal depression, etc. Both the LC and/or the psychologist is then able to recommend any followup BF or psychological care. The visit then winds up in a way that might benefit the function of the entire family in their adjustment to parenthood. The insurance is charged for the total sessions, and I believe the practices sort out what part of the reimbursement is for lactation services (and for psychological services). 

This would take some organizing among professionals, but sounds like there is real promise to consider to observe for the total interactional needs of new parents and babies. Several part time LC's (as well as full-time or part time psychologists) might be working within one pediatrician's practice. Perhaps this model might serve a new family (especially with the first child) more holistically while observing for medical, lactational or psychological problems needing further attention.

K. Jean Cotterman RNC-E, IBCLC 

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome