Denise says:
<<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.>>

How then would you interpret number 23 of the IBLCE's Code of Ethics:

23.  Require and obtain consent to share clinical concerns and information
with the physician or other primary health care provider before initiating a
consultation.

It seems to me that is pretty straightforward that the IBCLC is obligated to
share information with the primary health care provider -- either the OB or
the peds or the midwife....

Jan Barger, RN, MA, IBCLC, RLC
Wheaton, Illinois
www.lactationeducationconsultants.com

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