Revision of IBCLC® Scope of Practice and Clinical Competencies:

Call for Public Comment

The foundation of every quality professional certification programme is its practice analysis.  Conducted periodically, the practice analysis, is an extensive and methodical survey which gathers data from practitioners in a given profession.  Such a survey typically asks practitioners actually in the profession what it is they need to know (i.e., knowledge) and what specific skills they use (i.e., skills or competencies).

The responses to a practice analysis survey generate data which is then analysed by a professional psychometrician, or someone who is an expert in the science of mental measurement.

A practice analysis, therefore, results in a current, accurate and objective “snapshot” of what practitioners do and what they know.  It provides a picture of the necessary knowledge, tasks and competencies within a profession based on information provided by the practitioners themselves.

IBLCE completed the most recent IBCLC practice analysis in 2014-2015.  This practice analysis, resulting in more up-to-date information regarding the practice of lactation consulting, then informs the Scope of Practice for International Board Certified Lactation Consultant (IBCLC) Certificants as well as the Clinical Competencies for the Practice of International Board Certified Lactation Consultants (IBCLCs).

Therefore, after completion of the most recent practice analysis, and under the leadership of Tomoko Seo, M.D., IBCLC, FABM and Andreja Tekauc-Golob, M.D., IBCLC, IBLCE conducted an extensive review and analysis of the practice analysis data.  This review took place over eight meetings inclusive of six with IBLCE’s previous Certification Committee comprised of IBCLCs from around the globe including three Board members and four Committee members. The Executive Summary of the practice analysis may be found here.

The data based on the survey responses provided by IBCLCs militated in favor of only modest necessary or recommended changes to the Scope of Practice and Clinical Competencies documents.  Specifically, changes to these documents are reflective of current practice and include the following:

  • Emphasis is being added to the assessments and skills needed to address child(ren) specific needs.
  • Additional information is included in the Scope of Practice regarding the IBCLC’s role in providing breastfeeding and lactation care in relationship to maternal and child health and mental health.
  • Additional information is included in the Clinical Competencies about the safe use of human milk, breastfeeding after returning to work, the relationship between foods and breastfeeding, and breastfeeding in public.
  • Language is being updated to reflect gender diversity.

Additionally, given IBLCE’s transition to the use of British English, revisions were made to both documents so as to reflect this change.

As part of the final process of updating the Scope of Practice for International Board Certified Lactation Consultant (IBCLC) Certificants and Clinical Competencies for the Practice of International Board Certified Lactation Consultants (IBCLCs), IBLCE is soliciting public comment. This step is vital to the final formulation of the documents to ensure they reflect the focus, scope and essence of the IBCLC practice.

To provide feedback, please review the .PDF document and use the link at the end of this email to submit your comments.

Deadline for comment submission is January 21, 2018.
(Please note, this Call and all related documents will be translated into every examination language and every language group will have the opportunity for public comment).

Your comments will be reviewed and evaluated carefully by IBLCE and used to inform and strengthen these documents as appropriate.

Thank you for your review and feedback. If you have any questions, please visit to contact the IBLCE team members serving your geographic region.

The 2017 October Exam results were mailed from the IBLCE regional offices on 15 December 2017.

  • Please know that postal delivery timings may vary world-wide.
  • The printed score report is considered the official exam result.

The online credential management system was updated with the exam results on 20 December 2017.

The online registry will be updated in late January 2018.

Role Delineation Study Survey for Professionals in Lactation Support
The International Board of Lactation Consultant Examiners® (IBLCE®) is taking the next step towards development of a credential for those involved in lactation support, to complement the IBCLC® credential and extend the reach of skilled lactation care. We are looking for professionals in lactation that are practicing infant feeding support and do not hold the IBCLC certification to complete this survey. If you are in this role, we encourage you to complete this survey. If you are an IBCLC, we encourage you to forward this survey to those that serve in this role.

The survey is intended to capture the knowledge and competencies needed to perform the work that these professionals do. We realise that this survey will take a fair bit of time to complete and thank participants for their thoughts and time so as to advance the field of lactation support.

It is important to note that you can start the survey and come back to complete it. The survey may take up to 45 minutes to complete.

Due to the holidays and a desire to ensure we provide you with enough time to fill out the survey, IBLCE is extending the time that this role delineation survey is open, until Monday, January 22, 2018*.

Click here to start the survey!

IBLCE Is Seeking a Country Coordinator for the Netherlands!

IBLCE is currently seeking expressions of interest from IBCLCs in the Netherlands who wish to be considered for the role of Country Coordinator. This is a very important role of promoting and representing the IBCLC credential and the organization at conferences, seminars and other promotional activities, as well as supporting colleagues through general assistance with their certification or recertification process. Be part of the IBLCE network of Country Coordinators who promote breastfeeding and advance the lactation profession!

The applicant must be someone who is reliable, trustworthy and committed to the field of lactation consultancy and the IBCLC credential. The successful applicant must enjoy working with people, be able to communicate well in Dutch and English, and not mind being contacted at home/after hours. The time involved will vary throughout the year, but may take a couple of hours per week during the busy times. It is important that the applicant has time for this commitment, basic administrative skills as well as access to a computer and email.

Most Country Coordinators accept this role outside their regular paid work. IBLCE will pay an annual honorarium, based on a preset formula, and will also reimburse approved expenses such as phone calls.

The successful applicant must be:

  • An IBCLC in good standing free from conflict of interest
  • Fluent in English and Dutch
  • Supportive of the IBLCE Code of Professional Conduct and the International Code of Marketing of Breastmilk Substitutes and subsequent resolutions
  • Willing to have personal contact details publicized (name, email)
  • Professional in all interactions with IBLCE stakeholders (phone, email, and in person)
  • Respond in a timely manner to inquiries about the IBCLC credential
  • Be familiar with current IBLCE exam eligibility requirements and procedures
  • Communicate with the IBLCE in Europe, The Middle East & North Africa office in a timely manner; must be easily contactable by email
  • Willing to participate in an orientation process and take direction from the Director, Promotion and Advancement for Europe, The Middle East & North Africa

If you are interested in applying to become the Country Coordinator for the Netherlands, please email your CV/résumé along with answers to the following questions to Please enter “Country Coordinator for the Netherlands” in the subject line of your email.

1. What is your professional education?
2. How long have you been an IBCLC? What is your IBCLC ID number?
3. What skills and qualities do you bring to this role?
4. Why would you like to become the Country Coordinator for the Netherlands?

We look forward to hearing from you!