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Subject:
From:
Patti Gardner <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 16 Sep 2003 09:20:05 -0600
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In response to the questions about scope of practice for a nurse
midwife.  Our scope of practice includes newborn/infant care through one
year of age.  Our education and training does not prepare us to care for
sick newborns/infants other than to recognize illness and refer.  I
don't personally know many midwives who care for newborns/infants as a
part of their practice but there are some out there.

Patti Gardner, CNM, IBCLC

Date:    Mon, 15 Sep 2003 21:17:59 -0400
From:    "G. Hertz" <[log in to unmask]>
Subject: midwife questions

The midwives I work with here in the hospital setting fuction much as
the
OB/Gyns - they care for the moms but the babies are the responsibility
of
the Pediatrician or Family Practice doctor. I'm in York, PA, USA. How
does
this work in other areas of the USA? In other countries? Up to what age
does
the midwife assume responsibility for the baby? Do they care for sick
babies, too?

Gail S. Hertz MD, IBCLC
[log in to unmask]

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Date:    Tue, 16 Sep 2003 11:04:03 +1000
From:    Denise Fisher <[log in to unmask]>
Subject: letter to doctor

I would like to support Rachel's interpretation that there is no
requirement for IBCLCs to send reports to other health care providers.
I
know from my US colleagues that this is common practice, and there's
nothing wrong with that.  And I see it as an excellent way to educate
other
practitioners.  I feel it is necessary courtesy to send a report to a
referring health care provider too.  However if the mother comes from
other
sources then I don't feel a letter is required, UNLESS there is a
reason to
refer her on ie. you're recommending baby have a medical review.

I also pay indemnity insurance and assume professional responsibility.
I
don't need to defer to another health care provider when the problem
is
within my scope of practice.

Just a note to Amy ... you may be refusing to see a person, but by
giving
advice over the phone (you mentioned something about this in women you
weren't intending to take on) you have actually legally accepted a
professional relationship with the woman - and doing a phone assessment
and
giving even minimal advice is pretty scary.  Perhaps some of our legal
people could comment here.  Iona - is this true in Australia.  Billie
Jean
what's your comment re the US situation?  Anyone else?

Cheers
Denise

Denise Fisher
mailto:[log in to unmask]
http://www.health-e-learning.com

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------------------------------

End of LACTNET Digest - 15 Sep 2003 - Special issue (#2003-1237)
****************************************************************

Patti Gardner, CNM, MSN, IBCLC
Lactation Consultant
Maternal Child Services
United Medical Center
214 E. 23rd St.
Cheyenne, WY 82001
Email: [log in to unmask]
Phone: 307-633-7896
Fax: 307-633-7887

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