Lactation consultant vs IBCLC vs CBS: Understanding the differences
Breastfeeding support isn’t one-size-fits-all, and the credentials behind a lactation professional’s name can make a world of difference. If you’ve ever searched for a lactation consultant, you’ve probably seen terms like IBCLC, CBS, and LC thrown around. And we’re guessing you’ve wondered what these different designations actually mean!
Some of these certifications require years of rigorous clinical training, while others can be earned in a weekend. At The Lactation Network, we strongly believe that when you’re seeking expert breastfeeding care, you deserve to know exactly what those letters stand for.
Discover the key differences between Lactation Consultants (LC), International Board Certified Lactation Consultants (IBCLC), and Certified Breastfeeding Specialists (CBS) so you can confidently choose the best breastfeeding support for your needs.
Lactation consultant vs IBCLC vs CBS: Understanding the different roles in lactation support
Understanding the differences between a Lactation Consultant (LC), an International Board Certified Lactation Consultant (IBCLC), and a Certified Breastfeeding Specialist (CBS) can help you choose the right level of support.
Here’s the key ways these roles differ:
International Board Certified Lactation Consultant (IBCLC)
- Considered the gold standard in lactation care, the IBCLC certification requires extensive education, clinical training, and a board exam.
- IBCLCs are trained to handle complex breastfeeding challenges, including low milk supply, tongue ties, preemie feeding issues, and a lot more.
- Can work in hospitals, private practice, pediatric offices, and community health settings.
- This is the only lactation credential recognized by major healthcare institutions worldwide.
Certified Breastfeeding Specialist (CBS)
- This stepping stone credential is often pursued by those working toward IBCLC certification.
- A CBS can offer basic breastfeeding education and support but should refer out for medical or complex issues.
- This is not recognized as a standalone healthcare credential but can be useful for nurses, doulas, or aspiring IBCLCs.
Lactation Consultant (LC)
- This is a general term that isn’t a regulated or standardized credential — anyone can call themselves a lactation consultant.
- The education and experience of LCs varies significantly; some may be highly trained IBCLCs, while others may have little to no formal education.
When choosing a lactation professional, credentials matter. It’s important to check the person’s actual credentials to be sure they have the expertise you need. If you need expert, evidence-based care for breastfeeding challenges, an IBCLC is your best bet.
Training requirements: What it takes to become an IBCLC, CBS, or LC
The amount of training required for lactation professionals varies widely.
International Board Certified Lactation Consultant (IBCLC)
- Requires hundreds of hours of education and hands-on clinical experience which is not necessary for Certified Lactation Consultants (CLC) or Certified Lactation Educator Counselors (CLEC).
- Must complete 90 hours of lactation-specific education and up to 1,000 clinical hours (varies by pathway).
- Candidates must pass the IBCLC board exam, which is rigorous and internationally recognized.
- Often pursued by healthcare professionals, but open to anyone willing to meet the strict requirements.
Certified Breastfeeding Specialist (CBS)
- Requires 45 hours of lactation-specific education.
- Training is typically completed through a single course (often in a week or less).
- Must pass an exam, but no clinical hours or hands-on experience are required.
- Designed as an entry-level certification, a CBS is often used as a stepping stone to IBCLC certification.
Lactation Consultant (LC)
- This title is not a regulated credential, so training can vary dramatically.
- While some LCs may have extensive education (such as IBCLCs), others may have little to no formal training.
How to choose the best breastfeeding support for your needs
Finding the right lactation support can make all the difference in your breastfeeding journey. Follow these tips to get the best care for you and your baby:
- Check credentials – Look for an IBCLC if you need expert, evidence-based care, especially for complex issues like latch problems, low milk supply, or tongue ties.
- Consider your needs – If you’re looking for basic breastfeeding education and encouragement, a Certified Breastfeeding Specialist (CBS) or other trained professional may be helpful. But for medical concerns or in-depth troubleshooting, an IBCLC is the gold standard.
- Ask about experience – How long have they been working with breastfeeding parents? Do they specialize in specific challenges (e.g., preemies, twins, NICU babies)? Experience matters, especially for more complicated situations.
- Look for hands-on support – Breastfeeding is physical, and a great lactation professional will provide practical, hands-on guidance rather than just offering generic advice.
- Find someone who respects your goals – The best lactation support meets you where you are, whether you want to exclusively breastfeed, combo feed, or just make breastfeeding work for your lifestyle. Avoid anyone who pressures you into a one-size-fits-all approach.
- Check availability and location – If you need immediate help, some IBCLCs offer in-home visits, virtual consultations, or hospital-based care. Find someone who can support you when and where you need it most.
- Find out about insurance – Many health insurance plans cover IBCLC services, but coverage varies, so it’s important to check with your provider. Start by calling your insurance company to ask about lactation benefits and look for IBCLCs who are in-network or offer superbills for reimbursement.
Breastfeeding should never feel like a lonely struggle. The right expert can guide you through challenges, celebrate your wins, and give you the confidence to reach your feeding goals. Trust yourself, explore your options, and choose the support that feels right for both your baby and your body. And if you’re ready to connect with an IBCLC, The Lactation Network is here to make it easy — let us connect you with the right expert for your journey.
We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.
