I think the distinction needs to be made between discussing a client ( ie. someone who has paid to see you) and answering the questions of dads or other family members of a mother who you have not seen. The confidentiality enters in only if you have seen or had a conversation with the mother prior to the contact with another family member or friend. Right? That is a totally different story than the dad who needs pump info or has a generic question about breastfeeding management or medication. Also if dad was present at the consultation what is the breach of confidentiality in that circumstance? Also who is the client in some of these cases - is it the baby or the mother? If it is the baby, than both parents ( as long as both have legal custody) should be equally able to get information. Right? Maybe I am opening a big can of worms here, but I believe that Dad has to be part of the equation when the healthcare of his child is involved. It is a fine line sometimes and serious things need to be considered, like is dad abusive, but I for one don't ask that question when getting a history on mom and baby. having said all of that is it reasonable to say 1) if mom is the patient, you can't discuss case with anyone without consent. 2) If mom and baby are both clients, you can't discuss mom but could discuss things specific to baby. 3) If you have had no prior contact with this family answering questions or discussing equipment options with the father or whoever is not a problem? Input please, Thanks Lori Werrell, IBCLC