I currently work in an inpatient setting that provides mother-baby couplet care for 2700 births annually.

There are 4 lactation positions at our facility:  2 IBCLCs are full-time benefitted/5 days a week/40 hours weekly; one IBCLC is part-time non-benefitted/3 days a week/24 hours weekly; and one IBCLC is per diem non-benefitted, typically 2 to 3 days a week/8-hour days.  

Lactation services are most intensively used on the postpartum and NICU units, though the lactation staff also provides care elsewhere in the hospital when requested:  pediatrics, emergency room, labor & delivery, and women's surgery/gynecology.   Approximately 20 outpatient consultations are provided monthly; we hope to expand our outpatient service this year.  

This hospital is in north central Florida, where 75% of mothers giving birth at our facility are insured only by Medicaid.  Florida is one of the states in the U.S. that has refused to expand Medicaid, an option given to states as part of recent health care reform.  Florida has many wealthy retirees as well as retirees with more modest incomes, and Florida also has a very large population of working poor - - uninsured agricultural laborers (think of your fresh fruits and vegetables) and those working in service industries, such as food servers in the town's many restaurants that cater to so many retirees who enjoy eating out often.  

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