On our Spanish Lactnet the question is asked if there is a need for breastfeeding specialists once the community IS breastfeeding friendly. So - I ask this to our international group (as I know in the US and Puerto Rico we are hot breastfeeding friendly communities), as our friend in Spanish asked: Tan dificil es la lactancia? Es (o debe seguir siendo) un tema medico? Hay que ser experto en...? No sigue alimentando esto el viejo modelo donde la madre (la familia toda) es la que no sabe? Confieso que me da un poco de miedo esto de las especialidades, mas aun en un tema tan natural y del que siempre solemos decir que "hay que desmedicalizarlo". Is breastfeeding so difficult? Is it (or should it be) a medical question? Do you have to be an expert in [breastfeeding]...? Does this not continue to feed the old model where the mother (and the whole family) does not know? [He] confesses that the idea of specialists frightens him especially with such a natural subject as breastfeeding which we often say "should be demedicalized". Jeanette Panchula, BSW, RN, IBCLC Puerto Rico [log in to unmask]