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IBCLC meets Midwife?

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by boymomnurse boymomnurse (New Member) New Member Nurse

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Hello! I am currently an RN and have been for 5 years. I have done the basic nurse work; med surg, outpatient infusions, blah blah blah, and now I'm a school nurse. LOVE being a school nurse! The problem is that I've developed this passion for lactation and I just can't shake it. I've become very involved with my local La Leche League and am currently pursuing my accreditation to be a leader. I've spent hours researching the IBCLC website and I am pretty confident that I want to sit for the board exam to become a certified lactation consultant.

My question is....how closely do Midwives work with lactation consultants? Is there a need for such after a home or birthing center birth? I've worked in the hospital setting and it isn't for me. I want to be able to help moms the best way that I can and I feel that is best done outside of the hospital setting. I have this plan...or idea....to work with a Midwife or birthing center and offer mothers postpartum lactation care via home or office visit. Does anyone have any opinion, suggestion or insight on this topic? I would honestly love to pick a Midwife's brain if at all possible. 

Thanks! 

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On 6/11/2019 at 3:50 PM, boymomnurse said:

Hello! I am currently an RN and have been for 5 years. I have done the basic nurse work; med surg, outpatient infusions, blah blah blah, and now I'm a school nurse. LOVE being a school nurse! The problem is that I've developed this passion for lactation and I just can't shake it. I've become very involved with my local La Leche League and am currently pursuing my accreditation to be a leader. I've spent hours researching the IBCLC website and I am pretty confident that I want to sit for the board exam to become a certified lactation consultant.

My question is....how closely do Midwives work with lactation consultants? Is there a need for such after a home or birthing center birth? I've worked in the hospital setting and it isn't for me. I want to be able to help moms the best way that I can and I feel that is best done outside of the hospital setting. I have this plan...or idea....to work with a Midwife or birthing center and offer mothers postpartum lactation care via home or office visit. Does anyone have any opinion, suggestion or insight on this topic? I would honestly love to pick a Midwife's brain if at all possible. 

Thanks! 

From what I know in NYC, independent midwives or freestanding birth centers do not have the money to hire IBCLCs. I know a few home birth midwives who do the visits themselves and are also IBCLCs so they just do the breastfeeding support on their first home visit after the birth when completely other necessary tasks. You may be able to team up with home birth midwives or a birth center where you are. Don’t mean to discourage you, just my experience in NY. 

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LibraSunCNM has 10 years experience as a MSN and specializes in OB.

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Yes, I am a CNM at a freestanding birth center and we do not currently have an IBCLC on staff.  We *need* one, and in a perfect world we would be able to fold the cost of lactation services into our global cost of care for our clients and offer it free as part of their fees, but alas, insurance doesn't currently work like that.  We do have a few in the community that we refer to the most frequently.  The one we refer to the most has been able to recently start getting some insurance reimbursement, but it's still such a long process with fairly small reimbursements that she charges her fee to the client up front and then has them bill their insurance on their own.

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LibraSunCNM has 10 years experience as a MSN and specializes in OB.

1,228 Posts; 24,929 Profile Views

3 hours ago, boymomnurse said:

I’ve heard that because I’m also an RN, insurance reimbursement would be easier. Have you heard that? 

I haven't, but I'm not very well versed in the topic.  It probably varies state by state as well.

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