Does your baby have a doctor?
Breastfeeding Housecalls & Lactation Clinic, LLC (BH) believes strongly in a parent's authority to care for their babies in a way that matches a family's health values. However, because we care most about a baby's safety and future health outcomes, and because we as healthcare providers need to have someone to refer patients back to should a medical concern present, we have a policy that we will not see babies who do not have a medical doctor (this is in addition to a midwife) on record. If we deem at your consult that your baby's medical condition falls outside of what is healthy and normal we will refer your baby to a licensed physician, and if your baby doesn't have one, we will refer your baby to a urgent care or an emergency room to be seen by a medical provider prior to consulting you about breastfeeding-this ensures baby's state is stable.
Please know that BH requiring babies to have a physician on a baby's record doesn't mean we're going to make an automatic referral. It simply means that in case BH staff were to need a medical set of eyes on your situation that we would have a place to send your baby that is already familiar to you. If you use a midwife, rest assured that if we do need to make a medical referral, criteria for making the referral would be sent to her.
If you and your newborn are using a midwife, please visit the Texas Midwife Rules (pgs. 19-21) for questions about whether or not your baby's health condition falls outside of the Texas midwifery scope of practice.
If you don't yet have a licensed physician, this insightful article can help you choose a pediatrician or licensed physician meanwhile holding true to your family's health values.
If you remain unwilling to have a physician on your baby's record yet still need care for breastfeeding, please visit sabctx.org for other lactation providers in the San Antonio area, although those who are IBCLCs are held to the same standard of care that BH is by their IBLCE scope of practice and will likely have similar basic care expectations from clients.