I think what Kelly was getting at was that private LC do it for a living - they have paid to undertake courses to give them the training necessary to help women to get things going. I don't know how it is in WA, but I know that here is NSW it is like an optional extra for Midwives to become LC's - it isn't part of their mid studies as such, so therefore it is luck of the draw as to getting a good one through a public hospital, depending on how much extra training they did.

ETA - Older midwives didn't even get the training I think. One midwife I know who is in her 50's said that she paid to do extra courses to get her (then) nursing mothers certificate and that many of that era didn't because they weren't interested in going that step further kwim?