Dear IBLCE Board,
I am so happy to hear that this confusing, contradictory, disempowering
document is under discussion. It is in dire need of revision. I had a long
email composed, which I am not sending now that I know this document will be
reassessed. This is good news. As it reads now, it puts an IBCLC in the
position of denying correct information to a nursing dyad if it contradicts what her
HCP told her, no matter how outdated, erroneous, or dangerous that
information might be. It asks for IBCLCs to share evidence-based information and
policy statements about infant feeding, but then puts them in a position of being
out of the scope of practice by telling them they cannot actually do what
they are required to do, because if they mention the Management Strategies from
the Evidence-Based Guidelines for Breastfeeding Management from ILCA, the
AAP statements or the Global Strategy for Infant and Young Child Feeding, they
will surely contradict many a HCP. I could cite many examples of how this
Scope of Practice document would harm mothers and babies and their breastfeeding
relationships, and I could list many of the best IBCLCs I know of, who are
now thinking their credential wasn't worth the money it cost to prepare and
sit for their certification or recertification, and others who are now
reconsidering ever certifying because they will actually be tongue-tied by doing so.
Let's clip this now, and free up the professionals to do what they do best,
help mothers and babies to normal feeding and mutual caregiving, as part of
the health care team.
Thank you for your attention to this matter. Thousands of IBCLCs are waiting
to hear the outcome and consider their futures.
Sincerely,
Judy LeVan Fram, IBCLC, 1996, recertified, 2001, 2006, and wondering...
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