Understand the Distinctions among Lactation Care Providers
The USLCA urges broad understanding of the distinctions among lactation care providers. There is a common misperception that “all lactation care providers are equivalent” and for the safety of the public, it is important to clarify that they are not.
3 Tiers of Lactation Care Providers in the U.S.
- The International Board-Certified Lactation Consultant (IBCLC) is qualified to provide clinical lactation care.
- The counselor/educator category of providers consists of multiple programs, including but not limited to Certified Lactation Counselors (CLC), Certified Lactation Educators (CLE), and are prepared to provide education and counseling services.
- The final category are peer providers who are prepared to provide support services.
Risk to the Public
Families with educational needs can seek basic support, while those with clinical needs can receive specialized IBCLC care. This is similar to how nurse practitioners, registered nurses, licensed practical nurses and certified nursing assistants work collaboratively in healthcare.
The depiction of equivalency between IBCLCs and counselors/educators poses a significant risk to the public.
Policies and laws equating counselor/educators with the IBCLC certification are dangerous and create risk for medical providers and patients. Medical providers who refer patients for clinical evaluation and management to someone not adequately trained can face liability for negligent referral.
Families are at risk if they seek care from someone whom they believe has the knowledge and training to handle complex clinical concerns but are assisted by a counselor/educator or a peer supporter.
