​The optimal scenario for a Café is to have an IBCLC present at every Café meeting. ​

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In cases where there may be no IBCLC available to lead every Café, see guidelines below for Tiers 2 and 3 alternate staffing. 
  • *Tiers 2 and 3 are required to have IBCLC care available, free-of-charge, to any Café mom presenting with an issue requiring immediate intervention (mastitis, thrush, failure to thrive, weight loss, etc.) 
  • Outpatient lactation clinics using third-party insurance billing are acceptable. In areas where there is no clinical IBCLC availability, and only upon approval of Baby Café USA, a suggested donation by a private IBCLC referral may be asked of the mother. 

Tier 1 - IBCLC present at all Café meetings 

Tier 2 - IBCLC present some Café meetings, other meetings may have Alternate Staffing (as defined below) 

Tier 3 - Alternate Staff (a minimum of 2) present at every Café meeting 
  • Alternate Staff may consist of the following: 
    • CLC, CBS, BCBC, CLE, Trained Breastfeeding Counselor (DPH, or Hospital/Clinic-based program) 
    • WIC Breastfeeding Peer Counselor, La Leche League Leader 
    • Midwife/OB/MD/RN 
    • In special cases, and on approval of BCUSA, alternate staffing adjustments can be made. 
    • *Please note: 2 Peer Counselors without certified training is not adequate staffing to handle emergent issues with babies/mothers unless there is an IBCLC/MD/Midwife on the premises 
* Tiers 2 and 3 include:
  • Weekly verbal/text report given to an IBCLC by the alternate staff 
  • Quarterly face-to-face or conference call meeting between IBCLC and alternate staff to discuss case studies/issues 

Following are links to some online breastfeeding training programs: