This is in response to Jan's comment about her job as an LC with a peds practice. I too work as an LC - as a practitioner, with 5 wonderful pediatricians. It is truly the greatest job to have the autonomy as well as the tremendous support from the doctors. I see all the newborns in the practice to help /assist with the breastfeeding on that first visit to doctor around day 3 or 5, but what is incorporated is a "parenting-feeding" consultation as well - baby care with demonstration. I even then "take care" of the ones who chose formula and instruct on feeds, although there are not many of them. I am set up in the office with a room with the comforts of home, and the doctor always comes in afterwards for the "blessing". My boss has had an IBCLC in his office for the last 10 yrs - no one else around here has really had this set up, hopefully it will catch on. Parents come to our practice because of the well known lactation support, and we are very busy. Insurances are much more willing to pay when there is a Dr sign off under mine, and parents are willing to pay a copay more than out of pocket - so more LC exposure. I really do think that LC's in the office setting will truly allow the dr and the moms to get the full benefit of having the assistance in the crucial early days of breastfeeding. Sincerely, Holly McClain RN, IBCLC Chevy Chase, MD *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html