When I recertified (10 years) as IBCLC this year I had no idea that
the IBCLC Scope of Practice was going to be changed. I am alarmed to
learn that as an IBCLC I can no longer question erroneous information
if it is given by an MD, a common occurrence in my community. I am
concerned that I can no longer recommend alternative therapies,
particularly as there is no definition of *alternative.*
I would like to know why these changes were made.  I do not understand
how keeping mothers in ignorance about their situation and letting
them know that alternative therapies are available can possibly help
them and their babies to breastfeed.

Norma Ritter, IBCLC, RLC
Ref: http://www.iblce.org/documents/IBCLC_Scope_of_Practice_9-2006.pdf

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