Tammy,

I don't care how small your town is... there is always room for healthy
competition. And, to be honest, it actually feeds both practices. I have
been inducting new doulas for years here and it has only helped me build
my own practice. (I am myself an escapee of hospital politics.)

So, I would definitely not rule out a small private practice, along with
some volunteering at LLL or WIC or such. Your skills are valuable...
don't let anyone tell you "there's no need for them."  Bah, I say.
That's humbug! If it were true your town would have a 95% breastfeeding
rate and most children there would be breastfed well beyond a year. Is
that the case? If not... you go girl!

Susan
Susan Keith-Hergert
mom, nurse, doula and lactation consultant
Holistic Natal Care * Cincinnati
MMMM.... Making Mothering More Magical! ;-)
http://www.uniquebabyboutique.com/?HolisticNatalCare

>Hi, all...
>
>I'm leaving OB nursing for awhile. My back doesn't like me anymore, and I'm
>sick to death of the politics. But the hospital environment is also where I've
>trained as an IBCLC and childbirth educator, and where I've practiced both,
>too, in conjunction with being an OB nurse.
>
>There's already a childbirth educator/LC in town where I live, and it's a
>SMALL town. There are no needs for an IBCLC/childbirth educator anywhere locally,
>either...I've checked. I'll be working full-time at my new job (an
>"Ask-A-Nurse" type of deal), so I won't have a lot of free time, anyway.
>
>What should I do to keep current? Or should I just let my certifications
>lapse, and try it again if/when I go back to the hospital? I worked so HARD,
>particularly for the IBCLC...but there's just no need for me here.
>
>TIA,
>
>Tammy in Colorado
>

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