On some level, I think the changes to scope of practice may be to give 
IBLCE something to use against the bad IBCLCs who are prescribing or 
bashing doctors. But I also wonder about this, and if we can still give 
written information to mothers. Look at what information is in the BAB 
about galactagogues including herbs. Is giving this information 
"prescribing?" If a doctor says that an obviously tongue tied baby is ok 
and just give bottles, are we contradicting him or her to tell mothers 
what information we have on frenulum clipping and having further 
assessment? I always give written information rather than personal 
opinion on these issues but even that may be against the new scope of 
practice.

I personally find that this profession is going in directions that I 
find troubling. Passing the exam is fairly easy, in my opinion. The 
problem with the exam is that it doesn't test how well a candidate can 
assess breastfeeding in person, whether the candidate follows our code 
of ethics, or even knows about our standards of practice.

I find the second credential and this new scope of practice very 
troubling for the future of our profession.

Kathy Eng, BSW, IBCLC

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