I requested that I be able to see [my patients only] after delivery,
 but the hospital says I must be credentialed first (have physician
backup, show educational background, etc.  and pay a $350.
application fee).  >>

I am on staff at four hospitals and never have to pay an
application fee, but maybe things are different in urban settings.

A private LC should be able to visit a mom at anytime during
regular visiting hours.  In terms of permitting the babies in
the room during visiting hours, that is a mother's right and I
would raise one big stink if they wouldn't permit that.  In other
words, I would tell the staff, then bring the baby to me because
I am going home.  When they say you can't you aren't discharged
yet, the answer is, Then bring the AMA form (Against Medical
Advice) I am going to go home with my baby now, if you don't
let me have the baby now.  You can decide, let me have the
baby in the room now or complete the paperwork for me
leaving AMA.  One problem is that not letting the baby in
the room when the mother wants violates one of the BFHI
guidelines.  Nursing staff hate to have to deal with people that
leave AMA, it really creates lots of paperwork hassles for them
and usual protocols dictate that supervisors and administrators
need to be notified.

The other option is for the LC to discuss this with the pregnant
mom, and have the mom present in writing a request to her
Dr. that support from my special friend (who is the LC) is
extremely important to my sense of well being and I
request that the Doctor write an order that permit this
special friend to visit outside of visiting hours.

Jon Ahrendsen MD FAAFP
Clarion, Iowa