Becoming a Breastfeeding Counselor

1. Breastfeeding Counselors: Who they are and what they do.

Breastfeeding Counselors (BCs) are accredited representatives of Breastfeeding USA who participate in mission-related activities in their communities, online, and with the national organization. A mother who has breastfed her baby for at least one year and fulfills the other Personal Experience Requirements can become a BC by successfully completing the application and education program.

Breastfeeding Counselors understand the significant role that mother-to-mother support plays in women’s overall success and satisfaction with breastfeeding. Accordingly, their primary function is to offer evidence-based breastfeeding information and support to women through in-person meetings, by phone, or online as representatives of Breastfeeding USA. Other examples of mission-based services include providing administrative support to volunteers, participating in advocacy activities, and translating materials into other languages.

Breastfeeding Counselors are valued stakeholders in the organization with the rights and privileges of voting members. These include nominating and voting directly for board members, attendance at board meetings, and inclusion in the annual meeting where they may vote on issues that directly affect them. Breastfeeding USA provides liability insurance to cover BCs while they are pursuing the organization’s mission.

If you are interested in helping breastfeeding mothers in your community as a Breastfeeding USA Counselor, please read this entire page closely to learn more.

2. What to do before applying to become a Breastfeeding Counselor.

  1. Read the Personal Experience Requirements to ensure that you are eligible to become a BC. Also read these key organizational documents to learn about our goals, policies, and structure:
  2. If you are not yet a member, join Breastfeeding USA by purchasing a $25 regular membership. All BC applicants, BC candidates, and active BCs must be current members.
  3. Download the Application Form so you can prepare your answers offline; this will simplify the process of later submitting your application online. You do not send us the downloadable form; it is merely for your own use in completing the online application and as a personal record of your application.
  4. Arrange for at least two recommendations from people who know you well in person (not only online) and who are not related to you. The most useful recommendations will explain, in detail and with specific examples, how you reflect the Personal Experience Requirements, especially parts IV and V (experience with the biological norm for breastfeeding and effective/respectful communication). We are more interested in hearing from people who know you well as a mother and a friend, neighbor, co-worker, etc. than from those who know you primarily as a breastfeeding supporter.

    You are welcome to arrange for one or more supplemental recommendations from an online friend, a relative, a client, etc. if they can speak specifically to how you meet the Personal Experience Requirements or to your background in providing breastfeeding information and support.

    After you have permission from your recommenders to list them in your application, and when you are ready to submit your online application, send each of them the recommendation form, which includes directions for how to complete and submit the form. Your recommenders must email us their recommendations directly; we cannot accept them from you. We acknowledge each recommendation as it arrives, by replying to the recommender.

  5. Read the rest of the information on this page before submitting your application online.

3. From application to accreditation.

After you submit your application online, we will email you to acknowledge receipt of your application. Please reply to that message, and if it doesn't arrive within four days, contact us (select “Breastfeeding Counselor Applications” from the drop-down menu) to inquire.

Once we have at least two recommendations, a volunteer will contact you to schedule the required phone interview. Following the phone interview, the Applications Review workgroup will decide whether to accept your application. If accepted, you will pay the $50 education fee to become a Breastfeeding Counselor candidate. If both recommendations arrive promptly, the time from application to candidacy will likely be four to six weeks.

Breastfeeding Counselor candidates complete a comprehensive education course designed to prepare candidates to deliver our mission of providing evidence-based breastfeeding information and support and promoting breastfeeding as the biological and cultural norm. The course was developed and is taught by experienced Breastfeeding Counselors, many of whom are also IBCLCs.

The course is offered online, using a Moodle teaching platform. It covers all areas of basic breastfeeding management, counseling skills, and an orientation to Breastfeeding USA. Candidates communicate regularly with course teachers and other candidates, but they work at their own pace. One activity —a counseling skills role-play—requires real-time voice communications.

Active candidates are expected to complete at least one lesson (typically one textbook chapter plus some brief online activities) per month. Candidates have the option to go on hold if they cannot make minimum progress; while on hold they must keep their membership and education fees current.

The average time to complete the comprehensive course is about 9 months, but motivated candidates who can devote regular time to study often complete it in 4 months or less. Candidates who are not accredited within one year will be required to renew the $50 education fee to remain active.

The course uses the standard lactation textbook, Counseling the Nursing Mother: A Lactation Consultant’s Guide by Lauwers and Swisher. Candidates have access to a full-text online version of this textbook at no extra cost. Candidates may purchase their own hard copy of the textbook (5th edition, ISBN 978-0763780524) if they desire. A limited number of loaner copies is available from Breastfeeding USA with payment of a $75 security deposit.

4. Additional info about becoming a Breastfeeding Counselor.

The cost of becoming a Breastfeeding Counselor:

  • Breastfeeding USA annual membership: $25
    • Required to submit an application
      • Must be renewed annually to remain a BC applicant, BC candidate, or active BC.
    • Education fee: $50
      • Due upon acceptance of your application; required to become a BC candidate and start training.
      • Must be renewed annually if your candidacy lasts more than a year.
      • Financial assistance is available in cases of financial hardship.
    • Required textbook: access to online version included in education fee.
      • Counseling the Nursing Mother, 5th edition, by Judith Lauwers and Anna Swisher. Jones & Bartlett Learning, 2010. ISBN: 9780763780524.
      • Candidates may purchase a hard copy if they prefer that format; the book is widely available through online booksellers for ~$80 new.
      • A limited number of loaner copies is available to BC candidates; please inquire upon application. Borrowing a book requires a $75 security deposit, which is refunded when the book is returned in good condition.

      We welcome donations to help us waive education fees and purchase loaner copies of the textbook. Please donate online or contact us for details.

      If your goal is a career in lactation:

      Breastfeeding USA accredits BCs to support the organization's mission; the credential is not designed to be used in professional lactation or other health care services. Accreditation as a Breastfeeding Counselor is for the purpose of volunteering for Breastfeeding USA and supporting its mission of providing evidence-based information and support in a mother-to-mother model.

      The International Board of Lactation Consultant Examiners (IBLCE) recognizes Breastfeeding USA as a mother support counselor organization. Breastfeeding USA Counselors can obtain the lactation care experience required to be eligible for the IBCLC exam through Pathway 1 by volunteering in support of our mission.

      Requirements for remaining a BC once accredited:
      Accredited BCs must:

      • Renew their Breastfeeding USA membership each year
      • Actively work for the mission of Breastfeeding USA
      • Stay in communication with the organization by joining required email discussion groups, reading posted messages regularly, and reliably responding to all communications from the organization
      • Report their BC activities online each month
      • Complete minimal continuing education within three years after accreditation
      • Use Breastfeeding Answers Made Simple: A Guide for Helping Mothers (by Nancy Mohrbacher; Hale Pub., 2010; ISBN: 9780984503902) as a primary helping resource. Breastfeeding USA provides all active BCs full-text online access to Breastfeeding Answers Made Simple (BAMS) at no additional cost to the BC.

      5. Submitting your application.

      After you have read all the preceding information about becoming a BC, prepared your answers offline, and arranged for at least two recommendations to be sent to us:

      • Log in to your Breastfeeding USA account
      • Navigate to Becoming a Breastfeeding Counselor
      • On the right of this page, click on “To Apply Submit your Breastfeeding Counselor application”
      • Follow the instructions to submit your application

      Please be advised that you cannot save a partially-completed application online and return to it later, and once you submit your application, you cannot view it or make changes online.

      After you submit your application online, we will email you to acknowledge receipt of your application. Please reply to that message, and if it doesn't arrive within four days, contact us (select “Breastfeeding Counselor Applications” from the drop-down menu) to inquire.


      Please contact us (select “Breastfeeding Counselor Applications” from the drop-down menu) with your questions and comments. Thank you for taking the time to read this information and learn more about becoming a Breastfeeding Counselor.