I think 2 issues are being conflated here.

First, the reason a LLLL can't refer prospective clients to herself as an IBCLC is because this would mean she was profiting from her involvement in LLL and this is not allowed under the rules for 501(c)3 corporations.  In other words, you can't remain a non-profit if you have "volunteers" profiting from the business. If you were in violation of LLL rules you also might not be covered by the liability insurance.

The second issue is, can you use all the skills you've learned which exceed the scope of what LLLeaders are expected to know? All the information you can share with the mom, absolutely.  Help with positioning, why not? Doing a home visit? That can be a lifesaver - and it's o.k. though not required that Leaders do them.  Even if she's coming in to the clinic where you work as an IBCLC, I would think you can give her all the IBCLC services you would give any mother - you just can't charge her for them.

Of course, if you tell her you're an IBCLC even though you don't charge her you may create a situation where moms are calling LLL and not wanting to work with Leaders who are not IBCLC, which would be bad for the organization and bad for mothers who could benefit more from mother-to-mother support but want 'expert' help.  But after years knowing many IBCLCs and LLL Leaders it's impossible for me to predict which will have more knowledge/skills in any given situation.  The key is to know your limits and refer appropriately, whichever hat you wear.  For example, I've been an IBCLC for 10 years and I always refer on any suspected oral anatomy issues.

Am I missing something?
Marcia in MN


*"From:    Celina Dykstra <[log in to unmask]>
*Subject: Re: Short tongue (and) LLLL vs IBCLC scope of practice and insurance
*
*The 2003 Leader's Handbook states in appendix I, on page 226:
*
*"An active Leader/Lactation Consultant cannot make referrals to herself for pay."
*
*This doesn't say "she can make referrals to other IBCLCs with her name on the list" .. looks pretty clear to me - if we have the skill to help the mother who comes to us via LLL, we are obligated to help her in that role."

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