An International Board Certified Lactation Consultant (IBCLC) is the highest level of breastfeeding support and have very specific training. IBCLCs either come from a healthcare background, or have to sit 14 health science related subjects before applying for the exam. They also need to do 95 hours of lactation specific training and have to have 1000 hours of clinical practice (ie 1000 hours of experience in supporting breastfeeding) before being allowed to apply for the exam. Once qualified IBCLCs are required to keep up to date with current research by attending conferences and webinars. They resubmit for their IBCLC certificate every 5 years with proof of attending 75 hours of training. IBCLCs can support you with more complicated issues such as faltering growth, tongue tie assessment, breastfeeding problems, reflux, a non latching baby, as well as more straightforward breastfeeding support. IBCLCs are also obliged to work according to the IBLCE Code of Professional Conduct and carry full professional insurance. Most UK IBCLCs are members of The Lactation Consultants of Great Britain Please note that there are many people giving breastfeeding advice as a ‘Lactation Consultant” or “Breastfeeding Specialist”. When looking for quality breastfeeding support always make sure that they are an IBCLC and their license is still valid at the IBLCE registry