04/11/2026
Building Stronger Collaboration Between Obstetricians, Lactation Professionals and Childbirth Educators
A mother shouldn't have to be the messenger between the professionals caring for her.
Yet I hear versions of this far too often.
Her obstetrician is helping her plan a medically safe birth. Her childbirth educator is preparing her for labour and informed decisions. Her lactation professional may only enter the picture when feeding becomes difficult.
Each person is doing important work.
But when they don't communicate, she's left trying to connect the dots, often when she's exhausted, frightened or recovering from birth.
Sometimes, the problem isn't a lack of expertise. It's a lack of connection between the expertise we already have.
After years of working alongside families, I've come to believe that collaboration needs to mean more than exchanging phone numbers or sending referrals when something goes wrong.
So where can we begin?
1. Prepare together, before birth.
A childbirth educator explains labour, common interventions and informed choices. An obstetrician provides individualised medical guidance. A lactation professional prepares families for early feeding and potential challenges.
Different responsibilities, but the information should complement each other.
2. Create clear handovers, not vague referrals.
With the mother's consent, communicate relevant concerns.
Who follows up after a caesarean? Who assesses painful breastfeeding? Who should she contact when something doesn't seem right?
She shouldn't have to figure this out after discharge.
3. Ensure consistent, evidence-based information.
When professionals offer conflicting advice, the mother is left wondering whom to trust.
Communicate with one another, clarify differences in clinical recommendations and respect professional boundaries.
Collaboration doesn't mean stepping outside our scope of practice.
4. Review the mother's experience, not just clinical outcomes.
Did she understand her options? Did she know where to seek help? Was the information consistent?
These conversations can reveal gaps that clinical records alone may not capture.
And none of this necessarily requires an expensive new programme.
A shared referral checklist, regular multidisciplinary discussions and a clear postpartum follow-up pathway can be meaningful starting points.
WHO quality-of-care standards emphasise effective communication and functioning referral systems. WHO and UNICEF's Ten Steps to Successful Breastfeeding also recognise the importance of skilled support and coordinated discharge.
We don't need every professional to do everything. We need professionals to recognise how their work connects to everyone else's.
Because ultimately, the mother shouldn't have to navigate the gaps in our healthcare system.
Our responsibility is to make those gaps smaller.