I have friends in North Carolina who had a daughter a couple of years ago. While they were in the hospital, a woman came by their room wearing scrubs and with the usual lanyard of cards around her neck. She told them that she was a lactation consultant and impressed on them that it was vitally important that the mother breastfeed.

Unfortunately, they had a hard time getting their daughter to cooperate.

At their first post-natal checkup with their doctor, their daughter had not gained any weight since leaving the hospital. He told them to just feed her formula and don't worry about it. Apparently, the "lactation consultant" was not affiliated with the hospital in any way and this sort of thing was very common.