Call for Papers: Ethics and Lactation February 2020 Issue

The Journal of Human Lactation (JHL) is soliciting manuscripts about ethical issues pertaining to lactation and breastfeeding or chestfeeding for the February 2020 issue. Ethical discussions of these topics have been limited within the professional literature, despite the short- and long-term health benefits of human milk to families and communities’ health and wellbeing. JHL welcomes articles about a broad range of ethical concerns.

The Guest Editors welcome original research, literature reviews, case studies, insights into policy and practice and other types of manuscripts. Email inquiries concerning specific ideas for manuscripts for this special issue are also welcomed (e-mail addresses below).

For more details and to submit, visit

Manuscripts due: 15 July 2019

Joan E. Dodgson, Ph.D., MPH, RN, FAAN
School of Nursing
Saint Louis University

Guest Editors:
Darcia Narvaez, PhD
Department of Psychology
University of Notre Dame

Laura Duckett, BSN, MS, PhD, MPH, RN
School of Nursing (Emerita)
University of Minnesota


An Update from Mudiwah Kadeshe, ILCA President

As the president of the board of directors of the International Lactation Consultant Association® (ILCA®), I deeply value listening carefully to you, our members. I also want to be transparent with you about our organization. In 2019, I will be sharing with you the things that have excited me, the ways ILCA is stepping forward, and invite you to tell me what is and is not working for you as an ILCA member.

We have set big goals for the year ahead. We want to provide you with outstanding education and connection – whether in person or virtually. We are working to increase access to education, improve technology to serve you, and provide you with additional tools as we work together towards equity in the profession. We are excited to be doing this work together with you, our members and volunteers.

I cannot wait to see you 24 – 27 July in Atlanta, Georgia, United States for ENGAGE, our annual conference and general meeting. In addition to this great opportunity to get together, our board of directors will also be embarking on an international listening tour so that we can hear from you in your own community. Keep an eye on your weekly ILCAlert for more information.

We are working hard to increase access to member benefits. Soon, we will offer closed captioning on all recorded webinars. The expectation is that this visual word tool will allow more of our members to experience these great educational sessions, while laying the foundation for providing translations of these webinars.

To achieve all of our goals, we need your help. Soon, we will launch  a new structure for our volunteers. We have heard you. Our present way of engaging with volunteers has been challenging and we have not always made the space for you to work to the best of your ability. The  board of directors is committed to providing direction so that you, our volunteers, can put your expertise into action. Our volunteer application process will open soon!

Of course, big goals require funding. I am pleased to share that we have approved our 2019 ILCA budget. While this year’s budget may be ambitious, I believe that we can achieve our goals and be fiscally responsible. While we have not historically published our current year budgets, I encourage our members to explore our financial audits and minutes for our past Board of Directors meetings (please note that this link is available to members only). And, as always, I am happy to engage with you about ILCA’s financial health and priorities.

We are currently looking for a new member to our Board of Directors to fill the role of Secretary. You can read more about the position in our recent post at Lactation Matters. Please consider whether you or a colleague would be a good fit to help provide leadership as we work together to “transform world health through breastfeeding and skilled lactation care.”

I want to hear from you. It is vital that I know what joys and challenges you face in your daily work and how ILCA can better support you through our core values of knowledge, equity, and diversity. As we experienced at last year’s conference, we truly are better together. You can email me anytime at


ILCA Seeking Conference Program Task Force Chair Applicants

Do you love bringing together lactation consultants and ensuring they have the skills they need to provide high quality, evidence based care?

Consider playing a key role in the ILCA Annual Meeting and Conference by applying to become the Conference Program Task Force Chair (CPTF).

This two-year position includes an honorarium and attendance at the ILCA conference. The CPTF helps guide the selection of plenary and concurrent workshops.

While primarily focusing upon how “knowledge guides our practice, strengths our value, and supports our role in transforming global health,” all of ILCA’s three core values are essential to the tasks of this position.

The CPTP works alongside the ILCA Education Manager and coordinates closely with the members of the volunteer Conference Task members.

Learn more about the position and apply here.

Applications will be accepted until 15 February 2019.


ILCA Seeking Candidate for Board Position

Do you want to work alongside leaders from around the globe to shape the future of ILCA and your profession? Do you want to help set our path within the global breastfeeding community?

Consider becoming a candidate for a position on the ILCA Board!

The ILCA Board of Directors is seeking candidates for the Secretary position, which has been temporarily filled by Director Ger Cahill. Ger volunteered to step into the role after the term of the previous Secretary expired. The board is grateful for her time as secretary and look forward to her continued role as Director.

We asked some of our current board members to tell us a bit about what it means to them to serve the profession in this capacity:

“I feel very honoured to be part of the current ILCA Board of Directors. We know there are many IBCLCs and skilled breastfeeding supporters around the world that are yet to access the benefits of ILCA membership, including the Journal of Human Lactation, our education and professional development programs and our conference.

We are working to deepen relationships globally, to increase our advocacy work and to improve equitable and international access to our programs, while at the same time being mindful of the needs of our valued current members. It’s an exciting time to be involved!” ~ Iona Macnab, BA(Hons), LLB, IBCLC

“Working for the ILCA Board is a wonderful and satisfying experience. We are a group of people from all across the world, who get together, sometimes in person and most times while sitting in our own houses, and make decisions which in the long run can impact world health – can there be a more satisfying way to spend your time and energies?!” ~ Sabeen Adil, MD, IBCLC

“Being on the board is like being part of an international family. Everyone is far away so you look forward to the times you do get to spend with one another at meetings.

The board work – whilst not hard per se – can be challenging, making decisions that will affect the future of the organisation, bearing in mind the diverse international scope we are striving for, is not an easy task. So while the brain is definitely challenged at times, having colleagues who are fun, like-minded, brave and resilient and who I can also call friends, is the bonus that is worth the work.

Meeting so many people worldwide at various meetings and conferences has been a huge bonus for me.  Only through working on the board could I have had so many opportunities to do this. ~ Ger Cahill, BA, IBCLC

ILCA is seeking candidates who are alert to regional and cross-cultural differences as they occur within the global breastfeeding community. Candidates will be sensitive to the challenges of ensuring equitable access to positions of leadership within ILCA for currently under-represented groups.

To learn more about the Secretary position, including a detailed job description, we invite you to visit the Volunteer Opportunities page on the ILCA website. 

To apply, please complete the ILCA Secretary Application by 17 February 2019.

Please also consider sharing this with anyone you would like to help shape the future of ILCA and the profession. Thank you!


IBCLC Care Awards: Applications Now Open

Let potential clients know that your Hospital-Based Facility or Community-Based Agency recognizes the role of the International Board Certified Lactation Consultant® (IBCLC®) in protecting, promoting, and supporting breastfeeding by applying for the IBCLC Care Award.

The IBCLC Care Awards are promoted to new families and the general public which means your facility can enjoy the benefits of positive public relations in your community, including:

  • Enhanced attractiveness to potential patients
  • Competitive edge in recruiting lactation consultants, nurses, midwives, mother support counselors and other medical staff
  • General goodwill in the community by providing excellent care in helping new families reach their breastfeeding goals

Visit the IBCLC Care Directory to see which Hospital-Based Facilities are already benefiting from the IBCLC Care Award program!

Hospital-Based Facilities and Community-Based Health Agencies that staff currently certified IBCLCs can apply online to become a recognized IBCLC Care Award facility. Learn more about the qualifications and complete the online application here.

The award was created by International Board of Lactation Consultant Examiners® (IBLCE®) and International Lactation Consultant Association (ILCA). Learn more and apply here.

Applications will be accepted online starting 14 January 2019 through 15 February 2019. Please contact us at with any questions.

Click here to apply now!


ILCA Seeking Lead Nurse Planner

Are you a nurse who loves to ensure our education guides our best possible practice as lactation consultants? ILCA is seeking a Lead Nurse Planner (LNP). This remote position is compensated and includes attendance at the ILCA Annual Meeting and Conference.

The LNP ensures that ILCA maintains its status as a provider of professional development for healthcare professionals, which gives ILCA the ability to educate individuals worldwide.

To reach as many healthcare professionals as possible, ILCA offers education with a variety of continuing education credits, including those available to nurses. To maintain compliance with the organizations that grant those credits, the LNP must meet certain requirements (click here to learn more).

To apply, please complete the application here. Contact with any questions.


Top 10 JHL Posts of 2018

On topics ranging from breastfeeding in the workplace to co-sleeping perceptions to opioid maintenance treatment, our community tapped into the top-accessed resources of Journal of Human Lactation (JHL) nearly 23,000 times last year.

As we wrap up 2018, we compiled this list of the year’s top ten most accessed JHL articles. Planning on using research to guide your practice? Your ILCA membership ensures a full year’s access to the next year’s content, along with online, on-demand searchable access to the full database of JHL research to find the evidence you need. Not a member or time for you to renew? Click here to join or renew your membership now.

#10 Gestalt Breastfeeding: Helping Mothers and Infants Optimize Positional Stability and Intraoral Breast Tissue Volume for Effective, Pain-Free Milk Transfer

Pamela Douglas and Renee Keogh

#9 The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-Income Population

Ann L. Kellams, Kelly K. Gurka, Paige P. Hornsby, Emily Drake, Mark Riffon, Daphne Gellerson, Gauri Gulati, and Valerie Coleman

#8 The Atlantic Divide: Contrasting U.K. and U.S. Recommendations on Cosleeping and Bed-Sharing

Helen L. Ball

#7 Systematic Review of Evidence for Baby-Friendly Hospital Initiative Step 3 Prenatal Breastfeeding Education

Kathryn Wouk, Kristin P. Tully, and Miriam H. Labbok

#6 About Research: Qualitative Methodologies

Joan E. Dodgson

#5 Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis

Ann M. Witt, Maya Bolman, Sheila Kredit, and Anne Vanic

#4 Breastfeeding in the Community: Sharing Stories on Implementations That Work

Sheree Holmes Keitt, Harumi Reis-Reilly, Nikia Fuller-Sankofa, and Margaret Carr

#3 Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta-Analysis

Meredith Brockway, Karen Benzies, and K. Alix Hayden

#2 Efficacy of an Osteopathic Treatment Coupled With Lactation Consultations for Infants’ Biomechanical Sucking Difficulties A Randomized Controlled Trial

Juliette Herzhaft-Le Roy, Marianne Xhignesse, and Isabelle Gaboury

#1 Breastfeeding in the Community: Addressing Disparities Through Policy, Systems, and Environmental Changes Interventions

Harumi Reis-Reilly, Nikia Fuller-Sankofa, and Calondra Tibbs


Presenting the Patricia Martens Annual Award for Excellence in Breastfeeding Research: Mary Renfrew, FRSE, RGN, SCM, PhD

At #ILCA18, the Journal of Human Lactation (JHL) awarded the Patricia Martens Annual Award for Excellence in Breastfeeding Research to Dr. Mary Renfrew. This award is given, in memory of Patricia Martens, to a senior researcher with a history of excellence in breastfeeding research which has had an international impact on advancing our knowledge and practice about human lactation and breastfeeding. The award recipient is chosen by the JHL Editorial Review Board. We recently caught up with Dr. Renfrew to find out more about her research and how she came to be interested in supporting families through her research.

Would you share with us your research interests and what led you to focus your efforts in this area?

Ultimately, my research has focused on ways to enable women – all women, whoever they are, whatever their circumstances – to breastfeed, including approaches to mitigating inequalities in health.

Why did I focus on this work?  I think it was a combination of factors – I came from a large family where my mother breastfed all of us, and then I trained as a midwife in the 1970s, when harmful interventions were embedded in routine practice, such as separation of mothers and babies after birth, timing feeds, test weighing babies, and routine supplementation. These routine practices didn’t make any sense to me, and it made me angry to see women who desperately wanted to be with their babies and to breastfeed, yet who were prevented from doing so.  Conducting research studies to demonstrate the harm and to identify positive strategies seemed to be a helpful contribution I could make.

What do you think the key takeaways of your research are for individual IBCLCs® working directly with families?

The barriers to breastfeeding are societal. They are a result of misleading marketing and advertising, a lack of knowledge and skills among health professionals, a lack of public support and understanding, a lack of family and community support, a lack of support in the workplace, and an over-medicalized approach that focuses on specific interventions rather than on the kind, supportive, knowledgeable care and environment that women and babies need.  Work with others to tackle these barriers, and support all women, whatever their decisions or circumstances – these societal barriers make it hard for women to breastfeed, and they may decide not to breastfeed for many reasons.

What do you think the policy implications are for this research?

We need to tackle the societal barriers to breastfeeding described above through policy change. This should include better employment protection for lactation consultant professionals, limiting marketing and advertising of formula and other commercial products for professionals and for the public, taking specific steps to provide resources and support for low-income communities where breastfeeding rates have been low for generations, and improving education on breastfeeding for all professional groups involved in the care of women and babies. Such change needs interdisciplinary and inter-professional collaboration.

Our congratulations on the award! What research should we watch for coming up from you?

I will be retiring from my university post this year, so I will not be leading new research in the future.  I will continue to publish, mostly in the field of how to implement large-scale sustainable change. I am also currently leading on work to develop new standards of education for midwives in the UK and those standards, which will include standards for infant feeding, will be published next year.

Congratulations, Mary Renfrew!

Mary Renfrew is Professor of Mother and Infant Health at the University of Dundee, Scotland. Mary has been serving mothers and babies since she began her professional career as a midwife. She later transitioned to conducting health research, specializing in  maternity care and infant feeding and nutrition. In the past 35 years, her work has helped shape midwifery and breastfeeding policy and practices internationally. Her many professional accomplishments include publishing over 200 peer-reviewed papers; co-authoring ‘Bestfeeding’; and establishing the multidisciplinary Mother and Infant Research Unit at the University of Dundee, then leading it for over 20 years.Mary’s expertise is sought-after internationally in academic and policy circles; in addition to advising The Lancet series on Midwifery, she has served UNICEF UK and WHO. Her contribution to health science was recognised in her election as a Fellow of the Royal Society of Edinburgh in 2014.



Your ILCA Questions ANSWERED!

During our 2018 Annual General Meeting, as a part of our #ILCA18 Conference in Portland, Oregon, United States, we gave our members the opportunity to ask questions of our Board of Directors. Since returning from the conference, we have been hard at work implementing suggestions you have made and exploring how the needs of our members impact the future of ILCA. Here are our responses to the member-submitted questions. If you have further questions, don’t hesitate to connect with us at

ILCA Organizational Questions:

Where can we find the minutes of the 2017 AGM?

Financial documents such as our Audit Reports, along with minutes from our of ILCA Board of Directors and Annual General Meetings, can be found on our website (for members only) by clicking HERE.

What financial plan is being developed to increase ILCA’s assets?

As a membership organization, our primary asset is you, our members. Your needs shape our vision, your volunteer hours help execute our strategic plans, and your membership dues fund our efforts. In 2019, our goal is to increase assets through growing our membership. We plan to do this by ensuring that lactation supporters like you fully understand the value of ILCA membership. We also hope to increase involvement in ILCA by more effectively communicating the critical advocacy work we have been engaged in for many years, and are fully committed to continuing. In addition, we plan to increase paid offerings, such as additional webinar and education opportunities in 2019.

What is the status of the FILCA program? When will the Fellows program be reinstated and what new criteria will be used?

The Fellows of ILCA designation recognizes significant voluntary commitment to ILCA and also the professional excellence and achievements of leaders and mentors in the field of lactation consultancy. The program is is currently under review and is scheduled to be reinstated in 2019.

Would ILCA please consider creating affinity groups for members of non-dominant communities who face lactation inequities? Together, we can have a stronger voice. The answer is in the community.

Thank you so much for this suggestion. As we expand the capabilities of the ILCA CONNECT site, our private online community for our members, we would love to create spaces for affinity groups. We are working now on developing these spaces. We would love to hear more about how these groups can be the most effective. Email us at to get involved.

Will ILCA extend its policy that doesn’t accept papers in JHL from those receiving funding from Code violators to speakers and extend it further to speakers who speak at Nestle and etc. events?

Thank you for this important question. As you know, ILCA is deeply committed to upholding our responsibility to families through supporting the Code. The ILCA board and Code Committee both have this issue on the agenda. Additionally, the ILCA Conference Speaker Policy is being voted on in January 2019.

What consequences exist against people at ILCA who violate the safe spaces rule? Can they be removed from seats of responsibility?

ILCA holds diversity and equity as core values. Part of our commitment to these values means creating guidelines that foster diversity and equity (like our Policy on Creating a Safe and Inclusive Environment) and upholding those policies when needed to foster a supportive space for our community members. We have extended our Policy on Creating a Safe and Inclusive Environment to include our entire organization, and not just our conference event. This includes both our in-person interactions and our virtual spaces. Our commitment also includes providing trainings and tools that guide our members on their continuing journey of supporting diversity and equity at ILCA. Should an individual violate policies despite these supports, they would be ineligible to assume or continue in a leadership role within our organization.

I keep hearing “international” members, which is very United States centered. We are ALL international. How would we work to formalize language and practices that truly speak of the inclusion we hope to reach? What is the strategy of ILCA to become more INTERNATIONAL?

Thank you so much for bringing this to our attention. You are absolutely correct that our organizational language uses the term “international” to mean any of our members who are not based in the United States. We are intentionally shifting our language in this area. ILCA is deeply committed to meeting the needs of ALL of our members, not only those who are located in the US. Language adaptation is a process. Thank you for reminding us to keep it at the forefront of our attention.

In addition to our language, we are also seeking to address this concern in some additional ways. We have recently hired Michele Griswold as our Advocacy Advisor. She is tasked specifically with taking the needs of all of our members to the global tables where decisions about maternal and infant health are being decided. Additionally, we have, in June 2018, begun engaging our staff and board with Diversity, Equity, and Inclusion trainings and will also be bringing this training to you, as a free webinar, in early 2019. We welcome your continued feedback as we are on this journey together.

Will you be using the work of the Courageous Conversations focus groups as you shape policy and work on strategic goals for ILCA?

Yes, absolutely! ILCA is bringing together the significant efforts of the Courageous Conversations and the Lactation Summits to give us a nuanced picture of issues of access to the profession, both those that are a part of the larger system and those that ILCA can specifically impact. We are in the process now of reviewing with our facilitators, Dr. Adrienne Coleman and Traci D. Ellis and look forward to reporting back to you the changes you should expect to see at ILCA. Please check out our recent blog post by clicking HERE for a review of the events surrounding Courageous Conversations at our 2018 Conference.

How can members become more involved and support ILCA?

We truly are #bettertogether and ILCA would not exist without the investments of time, energy, and expertise of its members. We encourage all members to consider being a part of our Breastfeeding Benefactors Program, which provides resources for ILCA’s many programs and scholarships. You can find more information by clicking HERE. We hope you will also consider volunteering on an Advisory Committee or Task Force. Advisory Committees are teams of subject matter experts focused on a specific area of interest. They provide leadership in these areas to ILCA and help to set direction in their assigned areas. While Advisory Committees provide long-term guidance, Task Forces serve to help us reach time-sensitive goals in project-based and task-specific ways. These groups of individuals work together on a short-term basis. Applications for volunteer service will be available in January 2019. You can read more about volunteering at ILCA by clicking HERE.

Promotion of the Credential:

How are we promoting the credential? I don’t want to need to be an RN to get a job!

At ILCA, we are always exploring ways to elevate and deepen understanding of the role and responsibilities of the IBCLC around the globe. Over the next year, watch for concrete marketing campaigns to this end. We will also be working closely with our Global Partners to ensure our plans reflect the ways lactations professionals work all over the world. We also have recently received a Google Grant so that we can more effectively market our Find a Lactation Consultant to the families who need it. Stay tuned on our social media channels and in your weekly ILCAlert for more details.

What plan do you have for making sure that IBCLCs can make a living outside of the hospital setting?

Sustainability is a key issue for our profession and it is a concern shared by every member of our board. At the global level, ILCA is working hard to ensure that the voice of the IBCLC is at the table when key decisions are being made about lactation policy. While at that table, your sustainability is one of our key considerations. That being said, the landscape for employment opportunities varies widely by country, and is often dictated by national and/or local health care models. To help shape the integration of IBCLCs into your local health care system, we encourage you to additionally support your local partner or lactation professional advocacy organization.

What plan do you have to recognize and encourage advanced practice?

There are really two answers to this question. First, we encourage you to reach out to IBLCE. As the pillar of the profession that oversees our credential, IBLCE is the only organization that can define or create an advanced practice designation. That being said, ILCA is deeply committed to ensuring its members have the education needed to support practice beyond the basic and intermediate levels. Watch our Knowledge Center for opportunities to deepen your advance practice skills. Have a skill you would like to learn, or a provider you would like to learn from? Be sure to share your suggestions with our education department at

Education Questions:

In our increasingly digital world, what plans does the ILCA board have to continue expanding virtual learning opportunities for our members? Will our present conference structure change?

We hope you have had the opportunity to try out our Knowledge Center (access it by clicking HERE), which makes it easier than ever to learn virtually. Enjoy live and on-demand webinars, tools and handouts, and easy access to certificates for completed courses. We intend to continue to expand our offerings in 2019. As you may know, conferences are planned far in advance, often many years in the making. We anticipate 2019’s conference to be relatively similar in terms of virtual offerings. However, we are looking closely at our digital opportunities in 2020.

Is ILCA helping to promote higher education degrees such as bachelors, masters, and doctorates?

We are incredibly grateful for Lactation Education Accreditation and Approval Review Committee (LEAARC), one of the key pillars of our profession, for their efforts to expand educational opportunities for lactation professionals. You can read more about LEAARC in our recent blog post by clicking HERE. We encourage you to ask LEAARC directly about their future plans in this area.


Advocacy Questions:

Can ILCA speak more to our involvement at the World Health Assembly and how members can be involved in moving forward with these new political challenges?

As a part of ILCA’s global advocacy work, ILCA has been sending a representative to the World Health Assembly (WHA) for many years. Following this year’s WHA event, we issued this statement, which we hope you will continue to amplify. There are many ways you can help, and they are all important! First, stay tuned in. ILCA is increasing our communications around advocacy, and we need YOU to help amplify our messages. Be sure to keep your local lactation community updated with current advocacy issues. Be sure to help them understand how much these issues affect all breastfeeding families. Second, encourage your peers to become ILCA members. Your membership dues help support our efforts, but even more importantly, the size of our membership matters when we are engaging in advocacy. Consider donating to our scholarship fund if you can.

Is there a liaison between ILCA and the American Public Health Association? If so, who is this? We need APHA to increase their priority on breastfeeding.

ILCA does not currently have a liaison with the American Public Health Association (APHA). We are an internationally-focused organization and, while the APHA does have members from around the world, it is focused on being the professional organization for public health professionals in the United States. We are firm believers that having a seat at the table is essential to forward progress on our goals, so we strongly encourage you to explore how to establish these kinds of liaisons with the professional organization who is focused on work in the US, the United States Lactation Consultant Association (USLCA). You can find more information and how to contact them by clicking HERE.

Are any board members ready to lead the charge to get elected to public office to facilitate the changes we need to create a more respectful and supportive environment for the breastfeeding dyad?

We are grateful for the leadership that our members show all over the world in supporting new families. Our current board is comprised of members from Ireland, Nigeria, Canada, Malaysia, Australia, and the United States. Alongside our members, each board member is working within their own communities as well globally at ILCA. Currently, ILCA members are serving their local governments in several places around the world. We encourage our members to support these efforts by engaging in the many opportunities to advocate for breastfeeding globally.

I’m interested in getting involved with international volunteer trips. Is there a person or workshop that will help me be more aware of the groups and options seeking assistance?

ILCA does not currently plan or sponsor volunteer trips nor are we able to provide connections to individuals or organizations which do.

How do we intervene in the current polarized climate around infant feeding?

Your voice is more important now than ever. In the face of massive marketing budgets promoting human milk substitutes and a polarized political climate in many parts of globe, we need you to continue to do what you do best: share evidence-based information. Know that you are not alone in this work. You are joined not only by other lactation supporters, but also public health workers around the world who are working to deliver non-judgemental and accurate information to families so that they have what they need to make informed health care decisions. We also encourage you to work on the local level on policy issues that will mean families have a true choice (for example, access to skilled providers and paid maternity leave).

How can ILCA better advocate for the role of IBCLCs in supporting mothers in periods of crisis (like family separation at the US border or in emergency contexts)?

We have watched, alongside our colleagues, the many crises all over the world which impact new families. We encourage you to explore our Infant and Young Child Feeding in Emergencies Resource Module for more information. You can access it by clicking HERE.


Diversity Questions:

How can we work to facilitate training and education programs for a more diverse group of IBCLCs that more accurately reflects the patient population we serve?

ILCA agrees that expanded training and education opportunities is an important part of the overall goal to increase access to and diversify the profession. We are again grateful for Lactation Education Accreditation and Approval Review Committee (LEAARC), one of the key pillars of our profession, for their efforts to expand educational opportunities for lactation professionals. You can read more about LEAARC in our recent blog post by clicking HERE. We encourage you to ask LEAARC directly about their future plans in this area.


Conference Questions:

The day before I traveled, there were 40 posted handouts. Now, there are 60. Why haven’t these been posted when we could print them?

We appreciate your feedback. We work hard to provide access to all materials from our presenters as soon as they submit it. We are looking at our process with our presenters so that we may, in the future, be able to post the materials they submit in a more timely manner.

Can we offer subsidized registration fees for scholarship recipients?

Thank you so much for this question. We will work with our Global Collaboration committee to look into this further as we plan our next conference scholarship cycle.

How much money does the conference make?

Our conferences continue to be an opportunity for IBCLCs and lactation professionals from around the globe to gather. As we continue to learn, we truly are #bettertogether! As such, our priority is on connection and not on increasing revenue with these events. Our members are welcome to view our annual Form990 by clicking HERE for see more information about ILCA’s assets and expenses.

I dream of a device with simultaneous translation in several languages being used in the ILCA conference. Is this possible?

We would love that as well! We will explore whether this means of translation is possible for our organization. We are prioritizing the availability of live translation for our future conferences.

Why are you holding the 2019 conference in the United States? I thought it was the year to be out of the US. When will ILCA do a conference that is in a country other than the US, Australia, or Europe?

Our conference typically is held outside of the United States every four years. In 2017, we held our conference in Toronto, Canada. While the current plan would have our next location outside of the US in 2021, our Board is currently discussing some new ideas and models for our future conferences. Stay tuned and we hope you will join us in Atlanta, Georgia, United States in July 2019.

Can ILCA consider when it does hold a conference outside the US that it is not the same year as an USLCA conference?

Historically, the USLCA conference was held once every four years, in the year in which the ILCA Conference was held outside of the United States. This was to provide educational opportunities to US-based attendees unable to travel internationally. More recently, USLCA has expanded their educational offerings to include more frequent regional and national conferences. We applaud their efforts to support US-based lactation supporters.

Will ILCA invite speakers like George Kant and speakers that talk about malnutrition in the breastfeeding mother?

We encourage all of our members to help us choose our slate of presenters at our conferences! Please reach out to our conference planners with your ideas. Find out more about our process and priorities by clicking HERE.

Can ILCA offer an Infant Feeding and Young Child in Emergencies workshop at the next conference so the attendees from different countries can go back to their respective countries and start helping?

Please reach out to our conference planners with your ideas. You can reach them at Find out more about our process and priorities by clicking HERE.  In addition, we encourage you to explore of Infant and Young Child Feeding in Emergencies Resource Module on ILCA’s CONNECT site by clicking HERE.

How can we make sessions more flexible to accommodate more room for conversations? The anti-backlash session was wonderful but needed more time.

We could not agree more! While we love seeing engaged groups gathered together well past the end of key sessions, it is also clear that some conversations just need more time. We are looking into options including continuing conversations online, future online sessions, and other options. We are passing your feedback along to the ILCA Education department.

Would ILCA please avoid scheduling non-dominant communities in competing time slots?

Thank you for your commitment to participating in sessions by and for non-dominant communities. Conference scheduling is incredibly complex, with the need to puzzle together speaker schedules, available space, offering sessions at varying skill levels, and other factors. Please know that one of our top scheduling priorities has been and continues to be to avoid competing sessions for non-dominant communities, but sometimes these other factors lead to conflicts. If there is a particular session that you were not able to attend, please let our education department know at We can explore bringing that speaker for a webinar instead.

In the future, will you build equity into access to conference, both in terms of getting to the conference and for people with disability needs? They need to be involved in planning for it to work.

Thank you for your question. While we make every effort to accommodate the needs that are shared with us on the registration form, we recognize that the involvement of people with disability needs clearly fits the model that Mudiwah discussed in her president’s address: the answer is in the community. We are sharing your important suggestion with the equity committee.

A number of session have been problematic, especially when discussing breastfeeding disparities & communities of color. What is ILCA doing to ensure presentations & speakers use an equity lens?

Thank you for raising this very important question. First, ILCA is working hard to increase the number of speakers from non-dominant communities, with the goal of hearing directly from communities about the strategies that best meet their needs. We think this will go a long way in eradicating missteps around discussing health disparities from a deficit, rather than strengths-based, model. Second, we have been examining best practice models from other conferences for strategies we hope will help reduce micro-agressions at our educational offerings. For example, we are exploring offering training to ILCA speakers on how to reframe their presentations with an equity lens. Have you seen a strategy that you think will make a meaningful difference? Please share it with us at

Micro and macro aggressions are extremely common at ILCA conference. What new approach will ILCA take in the future to make the conference a safer place for attendees who are targeted by oppression?

Thank you for raising this important issue. ILCA is committed to creating safer spaces for our community. In addition to efforts this year (including having an Equity, Diversity, and Inclusion expert on site), ILCA is planning equity trainings for members, vendors, and speakers in the future. Be watching for details for a free follow-up webinar to our Courageous Conversations in early 2019. The Equity Committee will continue to work closely on these issues in 2019.

Will there be a summary or review of the Courageous Conversations sessions? I did not attend.

We are sorry you missed this important conversation! We encourage you to read our recent blog post, which you can find by clicking HERE, which highlight the activities around Courageous Conversations at our 2018 Conference. In addition, a report will be available in early 2019. And, be on the look out for information soon about a follow-up free webinar in early 2019.


Journal of Human Lactation Questions:

Can the submission deadline be at least 12 weeks for special calls for JHL? A turn around of a few weeks is not possible for busy collaborators.

Thank you so much for your question. We will pass your feedback along to the JHL staff.


Credential Questions:

We received a number of questions that ask key questions about the profession – and are not questions ILCA can answer! Like many professions, lactation consultants are supported by three “pillars,” each with its own dedicated organization providing services and benefits to practitioners. Generally speaking, the three pillars are support for the profession (provided by ILCA), development of the certification examination and oversight of the certification program (provided by IBLCE) , and standards for education (provided by LEAARC). You can read more about how these organizations work together to support the IBCLC by clicking HERE. Here are some questions that you presented and we fully support. We have shared these with LEAARC and IBLCE, but we encourage you to reach out directly to answer your questions.

  • Can we get an update on the status of the 2nd credential being developed by IBLCE?
  • Where is ILCA on a lactation educator credential? I ask this as so many people want to help with lactation and it’s confusing to the public with so many other credentials.
  • Will ILCA consider Emeritus status after 4 exams or 30 years of practice?
  • Will you advocate for continued recertification by exam or removing that requirement?


I don’t like the smudging. I have asthma very bad. The smoke/odors came into the meeting space. Next time, it should be held away from the main doors.

Thank you for the feedback. At each year’s conference, we seek to honor the indigenous communities on whose land our event is held. We invite the representative to bring greetings and whatever rituals are appropriate within their tradition. This year, smudging at the entrance was an essential component for our representative. We will continue to seek to meet the needs of all of our conference attendees.

The Courageous Conversation was amazing and powerful. However, if it were held earlier in the day and made mandatory, it would have reached more participants. I think it was sad that Courageous Conversations was so late, which made it difficult for me, and I’m sure others, to stay. Choosing to place this earlier in the day would have placed more value on these topics. I would like to request that Courageous Conversations occur in the middle of the day. I feel this is important.

Thank you for saying what we have heard from so many – the Courange Conversations are critical to our work at ILCA. To that end, we are offering a free follow-up webinar in early 2019 and are planning expanded offerings for #ILCA19.

I love the focus on equality, on acceptance, on honesty. But, I don’t want us to lose our focus. These are important however, we are a group focused on lactation and helping the breastfeeding family.

We will not be effective in our ability to serve new and growing families if we are not sensitive to their ways of being. This means ensuring that we are skilled not only in providing care to those in the dominant culture, but also those who may be not be well served if we attempt to deliver the same model of care regardless of culture.

We also agree that we must be focused and targeted in our efforts if we are going to be successful as an organization. That is why we are looking to the report coming out of the conference that focuses specifically on what ILCA can do to increase both access to the field and access to culturally appropriate care. We look forward to updating you on specific action steps soon.

Thank you for your service! We know you are volunteers who take time away from your family and your work to serve us. My appreciation goes out to our Board (and committees) to keep us going and growing.

Thank you so much for your support. We are honored to support you, our member, and the profession. We also cannot do this alone! We encourage you and other lactation supporters to consider volunteering at ILCA. Watch for specific opportunities in your ILCAlert and by clicking HERE.

Why do we come to an ILCA Conference? I – because we are inquisitive. L – because we love to learn and to laugh. C – because we are caring. A – because we are amazing! ILCA – home to incredibly people.

We love this! Thank you for giving us all a huge smile. Now, who can write us an ILCA haiku?



Welcoming Michele Griswold, PhD, MPH, RN, IBCLC: ILCA’s Advocacy Advisor

As a part of our ongoing commitment to transform world health through breastfeeding and skilled lactation care, ILCA is honored to welcome Michele Griswold, PhD, MPH, RN, IBCLC as our new advocacy advisor.

This position was created in response to requests from members and partners to strengthen ILCA’s position and representation of breastfeeding and skilled lactation care issues globally. The Advocacy Advisor will provide strategic support to the organization, coordination across ILCA’s current liaisons and global partnerships and also work with volunteers to advance issues related to breastfeeding and skilled lactation care at the regional and country levels.

By creating this new role, ILCA also hopes to further support the advocacy work of its Partners and deepen its participation in major efforts such as the Global Breastfeeding Collective, which brings together implementers and donors from governments, philanthropies, international organizations, civil society and is led by UNICEF and the World Health Organization (WHO).

“We are thrilled that Michele has agreed to step into this new role,” said ILCA President Mudiwah Kadeshe, MSN, RNC, LNC, IBCLC. “The additional coordination and support she will provide will serve to multiply many times over the critical efforts of our advocacy team.”

Griswold brings almost 20 years of experience in breastfeeding advocacy, including leading her state breastfeeding coalition’s policy and advocacy efforts. She has also held leadership positions in ILCA’s advocacy work since 2011. Specifically, she served as Chair of the former Global Outreach Committee, as an ILCA Liaison to the United Nations, and in 2014, was elected as Global Outreach Director to ILCA’s Board. Under her leadership, ILCA became engaged with the Global Breastfeeding Collective and NetCode, and she represented ILCA at key global meetings. As the outgoing ILCA board president, she also brings a deep knowledge of ILCA as an institution and how to best leverage ILCA’s strengths to support advocacy efforts.

“Advancing breastfeeding on the global agenda can have a powerful impact locally, both for families seeking skilled lactation support and for professionals who deliver that care,” said Griswold. “I’m grateful for the opportunity to focus on amplifying the work of our advocacy team.”

This role will also increase ILCA’s capacity to provide the expert guidance of our community when matters of breastfeeding are addressed at the global scale. “Lactation consultants are experts in the clinical support of breastfeeding families,” Griswold added. “Our collective knowledge should inform decision making surrounding global policies directly impacting breastfeeding families in our care.”

To contact Michele, please email her at


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