Very well said, Susan.  Very well said.

I wholeheartedly agree that IBCLC's should have a full range of experience 
with the breastfeeding dyad from prenatal education right through until 
weaning.

That said, I know that there are gaps in my own knowledge and experience 
*because* I do not have a medical background.  But, I think that those things 
coud be covered with more stringent educational requirements before sitting 
the exam.  That coupled with ensuring that a certain number of BF 
consultancy hours are gained by working with mothers of babies in every 
stage of breastfeeding would mean that all IBCLC were on more equal footing 
and had the same knowledge and experience base.

Just my $.02.

Blessings.

Karyn-grace Clarke, IBCLC, LLLL
Gulf Islands, BC, Canada

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