My hardest decision concerning this matter has to do with the ethical role of 
an IBCLC issuing formula packages.  As our code of erthics clearly state, we 
as IBCLCs are to ahere to the Code as it applies to health care workers, 
specifically 7.4.  At what point do we as IBCLCs take a firm stand with our 
employers and refuse to comprimise our professional ethics at the risk of loosing our 
jobs?  We are supposed to support eachother and work together 
(administration, nursing, physicians) to provide health care services to all.  But one 
profession does not seem to have respect for the ethics of the other.  What is the 
purpose of a code of ethics if at any time an administrator can simply dismiss 
it as insignificant, not to mention the impact on the IBCLC being asked to 
ignore it?  How do we succeed in getting people to understand the principal at 
issue here?  I am so conflicted.  On the one hand I teach the women in the 
prenatal class about the importance of breastfeeding and the hazards of formula 
then turn around and see these same women in the hospital after delivery issuing 
a formula package??  Where does my professional credibility go from there?  

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