Jennifer asks the question I need to know.  I worked hard and studied  and 
paid good money for education in lactation over the years.  I did it  because my 
understanding was that IBLCE was working towards IBCLC being a stand  alone 
credential.  I never want to do anything other than private  practice.  I have 
no desire to work in a hospital or work for anyone  actually.  I need to know 
what next.  Personally, I am thinking I want  a refund. I want a prorated 
refund from IBLCE for my cert exam fee.  Then,  I want to give them back my 
credential as I cannot possibly work under their  conditions of certification.  As 
an add on, sure, it has value.  I  just do not want an add on.  I want a stand 
alone credential.  So,  where to go from here?  My opinion at this point if 
that those of us who  are not licensed health care practitioners better rethink 
our goals.  Also,  I think we better seriously consider starting a new 
certification program that  meets the needs of the lactation consultant who is not a 
licensed health care  provider.  I agree with Jennifer that this is not by 
accident. I cannot  assume ignorance of intelligent people.  Considering who is 
in charge of  IBLCE I must assume intelligence and therefore I must accept that 
they thought  through the ramifications of their decisions and were happy 
with the prospect of  eliminating all non medical licensed health care providers 
from their  credentialed persons.  

I think  we are at a crossroads--IBCLC is an 
add-on credential grounded in the  medicalization of birth and 
breastfeeding, designed to serve the  status-quo or it is an independent 
profession, grounded in our obligation  to protect the biological norm 
and designed to serve mothers and  babies.
So now what?  Where do we go from here?  How many non licensed  medical 
persons are IBCLC?  How many will be affected by the changes?   I personally will 
not be guided by an unethical scope of practice that asks me  to lie and ignore 
misinformation and to deny a mother the right to care and full  knowledge.  
Obviously, my ethics will not allow me to be an IBCLC under the  Scope of 
Practice, so what do I do now?
 
Also, where is the professionalism of IBLCE?  Why is Lactnet their  source of 
information?  Where is the certified letters letting us know we  are all 
going to need to change our methods of practice?  Where is the  written 
notification of changes? Nowhere.  If you do not read Lactnet you  do not even know 
there is anything happening in IBLCE.  OOPs.  Maybe I  should just not read 
Lactnet and claim ignorance of the gag order.
 
What name should I call myself now?  I will become a CLC  instead.  No one 
would know the difference anyway and those that I work  with could not care less 
what I call myself, just so long as I help them  breastfeed their babies.
 
Take care,
Pam MazzellaDiBosco
Professional Lactation Assistant



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