Clinical Implications Mother

Breast Pinch

Usually little attention is given to prenatal assessment of the breast and nipples because of Western cultural inhibitions about the breast and lack of recognition of its importance. As a consequence, after giving birth, mothers may experience feeding difficulties that could have been prevented. Nurses and lactation consultants practicing as primary caregivers are the ideal people to perform a prenatal breast assessment, particularly because physicians (especially males) are often reluctant to...

Superbill Lactation Visit Receipt

(With permission, Pat Lindsey, 2003). (Medicare, Medicaid) and managed care organizations (MCOs). Medicare applies to individuals over age 65 and is not applicable for breastfeeding except that insurance companies usually follow Medicare rules for payment. Medicaid is a federal program administered by the states, and state regulations apply to mothers and children who qualify on the basis of poverty. The regulations in various states may differ in billing rules and regulations. About one third...

Technological Innovations in Infant Feeding

During the late 1800s and the early 1900s, high infant mortality, even among infants cared for at home, was a major public concern. Physicians and parents recognized that poorly nourished children were more susceptible to illness. Between 1910 and FIGURE 1-3. UNICEF photograph of thriving breastfed twin and his dying bottle-fed sister. (Courtesy of Children's Hospital, Islamabad, Pakistan.) FIGURE 1-3. UNICEF photograph of thriving breastfed twin and his dying bottle-fed sister. (Courtesy of...

Required Competencies for Lactation Practice

Breastfeeding education and advocacy 2. Clinical management of breastfeeding 4. Special knowledge and assistance 5. Professional responsibilities and activities 6. Business practices legal considerations vices on breastfeeding increase the likelihood that the staff will provide consistent information. Although providing in-service education is an important, perhaps even essential, role of the lactation consultant, one can (like the proverbial horse brought to a watering hole) offer but not...