I see your point, Diane, about the LLLL/IBCLC being able to offer the best
of both worlds. However, I would hope that we would not exclude anyone based
on not having this particular background. I know many LCs who did not come
from a LLL background, but who I think are pretty good nonetheless. (include
myself here). I think a valid point is that LLLL likely have more experience
with older nurslings, counseling skills, and the long term bf relationship.
Several of my LC colleagues who do not have LLLL backgrounds, have bf 3, 4,
5 yrs and value this relationship and have experience with all ages. I think
nurses often are and should be at the very least, very good at counseling.
Counseling was a big part of my BSN training.
Of course, if making a blind referral, one may be more comfortable referring
to the one with LLLL/IBCLC or (maybe for a difficult NICu case), referring
to an RN/ibclc. Really it seems best if at all possible to get to know the
folks we are referring to.
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA


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