Just a couple of comments.
More mothers may be able to access ibclc services, hopefully at an earlier point before the situation gets complex.
Perhaps mothers can get a prenatal ibclc consult and the ibclc gets reimbursed.
And, while not necessarily ideal for all, it may be that a more complex dyad could be seen daily or every other day for
1 hr, rather than a 1 time 3 hr visit. I run a followup clinic at a hospital. Unfortunately, in the system I work in, I cannot
spend 3 hrs with a dyad. I allot 1 hr per outpt visit. Some take over 1 hr and some take less. Some do not need to come
back, and some come back multiple times like 2, 3, or 4 times over a week or two. These shorter visits with a couple
suggestions and then followup visit(s) seems to work too.
I am sure this system is not perfect and will evolve over time. P.S. I heard on the radio this morning about what services
will be free for women: well woman care, contraception, breastfeeding. So we are in the news in a good way at least.
Laurie Wheeler RN MN IBCLC
Mississippi USA
Baptist 100. Well beyond a century.
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