Follow up is part of an IBCLCs Code of Ethics and Standards of Practice. 
Unfortunately, I think many of our standards are fairly vague and allow 
lots of lee-way. This is why we have some IBCLCs doing test weights, 
some doing HCPs, some doing follow up, and some doing none of this.

Personally, I always do at least one follow up phone call after a 
consultation. Many times more, depends on the situation and the mother. 
I do not follow up forever until mom comes off the shield. At some 
point, she is on her own and she is welcome to call me back. But I don't 
use NS all that often (I do use them sometimes). It depends on the 
problems and if my test weights show the NS is the answer and increases 
intake.

Kathy Eng, BSW, IBCLC

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