I agree with Marsha and Kathleen that, given the choice between the  
two, ILCA should write standards of practice, not the IBLCE BOD.  
OTOH, there are a several important concerns to address. One is that  
ILCA clearly and knowingly abdicated that authority to the IBLCE  
BOD,  since they were aware that this was happening and even  
collaborated to a point. This is very concerning--how could it happen  
that ILCA did not put a stop to this in the first place. We are often  
only powerless when we allow it and I worry about a BOD (ILCA) that  
has allowed itself to be so powerless as compared with the IBLCE BOD.

Secondly, there are contradictions and confusion within the  
guidelines written by ILCA as well and some are pretty significant.  
Even so, the ILCA BOD does seem to more consistently reflect real  
practice and I have more hope that they could do a good job of  
tearing down the old structure and creating a truly functional one.

Thirdly, we would really need to add a formal registration process  
and not have ILCA membership be optional OR we would need a third  
organization that is responsible for registration and ethics,  
separate from ILCA and the IBLCE.

Again, I encourage everyone to look at the CPM info I linked to  
earlier--it is an excellent framework for us. The fact that midwives  
in the US have a difficult time with the medical establishment's  
attempts to fully control birth is actually not an indicator that  
this is the wrong model, but rather evidence that it is the right  
one. Look at what has happened to birth b/c it has been medicalized-- 
if we follow the path we have been going down, then we will have  
succeeded in fully medicalizing infant feeding as well.  I'd much  
rather we as a whole took the physiologic norm as our mantra!

Jennifer Tow
"Breastfeeding is the practice of mothering".

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