I just had to chime in on this one after following the posts. I have been 
working with moms for 14 years had various reasons and yes some excuses for 
not taking the IBCLC exam. Some of the excuses was wanting to get more 
experience and learn more to be able to pass the exam. Also making sure I am 
competent for the credential it carries. I work in a growing community but only 
have about 500 births a year so I don't get to see alot of problems but do 
have a few challenges and I keep looking to you as the experts to assist me.
With the competency issues, maybe I don't have to be so hard on myself in 
thinking I'll pass. I work in a hospital setting. My main goal is to help our moms 
feel confident and knowledgable about breastfeeding their baby. I give them 
follow up support and they call me with concerns as well. I do my best at 
teaching the staff. That one takes alot longer but we have made alot of 
progress. We have gone from 46% breastfeeding to 76%. Now trying to keep 
the numbers from falling off so soon after the first 6 weeks.
Terri Klein RN CLE CLC

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