I like Nina's thoughts on the action plan of making empowerment of the mother more 
explicit.  Really she is the implementer of any changes to practice and this should be 
recognized.  This is another step forward from "care plans" which are even further down the 
totem pole of empowerment.  For years, I have been modifying mother and baby "care 
plans" from what my mentors used and it dawned on me that really, these are not "care" 
plans for the mother and baby because as an IBCLC I am not there caring for them --- I am 
observing and advising them on ideas about how to improve practices and I really need to 
engage the mother to help her determine what will work best for her to take responsbility 
to improve her practices.  Nina, I hope you sent your comments to ILCA.

Following the WHO code SHOULD be in the standards of practice.  A scope of practice is 
what we CAN do --- while standards are more specifically detailed about how we should be 
conducting ourselves including ethics.  And I most wholeheartedly support following the 
WHO code for IBCLC "STANDARDS" of practice.  

Best, Susan

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