• Maintain continuous membership in CAPPA.
• Document 15 hours of continuing education in Breastfeeding, Newborn care, Parental relationships or postpartum issues approved by CAPPA.
• Submit good evaluations from three students.
• Submit two letters of recommendation from any of the following: certified childbirth educator, certified labor doula, certified nurse-midwife, obstetrician/gynecologist, pediatrician or IBCLC.

• Maintain continuous membership in CAPPA
• Document 15 hours of continuing education in pregnancy, labor, breastfeeding, or postpartum issues approved by CAPPA.
• Submit good evaluations from three mothers for whom you have provided labor support.
• Submit two letters of recommendation from any of the following: certified childbirth educator, certified labor doula, certified nurse-midwife, obstetrician/gynecologist, or IBCLC.

• Maintain continuous membership in CAPPA.
• Document 15 hours of continuing education in pregnancy, labor, breastfeeding, or postpartum issues approved by CAPPA.
• Submit good evaluations from three students.
• Submit two letters of recommendation from any of the following: certified childbirth educator, certified labor doula, certified nurse-midwife, obstetrician/gynecologist, or IBCLC.

• Maintain continuous membership in CAPPA.
• Document 15 hours of continuing education in lactation issues.
• Submit a two page report on how you have grown as a CLE over the past three years.
• Submit a two page review on each of three studies in lactation research published within one year of current date.
  (Form K.)
• Submit good evaluation forms from 10 students. Evaluations should be from at least five different classes.
• Submit signed forms for the lactation educator scope of practice, grievance policy, and code of conduct.
  (Forms F, G, & H.)
• Submit two letters of recommendation from any of the following: certified childbirth educator, certified antepartum doula, certified postpartum doula, certified nurse-midwife, obstetrician/gynecologist, IBCLC, licensed, registered, or certified professional midwife, or registered/licensed practical nurse.

CAPPA certified members may use any of the following for the continuing education requirement.

• CAPPA approved training.
• CAPPA annual conference.
• La Leche League meetings (max. 5 contact hours).
• CAPPA distance labor doula training videos (max. 15 contact hours).
• Book reports (min. 1,500 words) from required reading list (max. 5 contact hours).
• Breastfeeding consultations as an observer with an IBCLC (max. 3 contact hours).

You may also use continuing education offers from the following:

• American College of Nurse Midwives (ACNM).
• American College of Obstetrics & Gynecology (ACOG).
• American Dietary Association (ADA).
• American Medical Association (AMA).
• American Nurses Association (ANA).
• Association of Women's Health, Obstetrics and Neonatal Nurses (AWHONN).
• International Board of Lactation Consultant Examiners, Inc. (IBLCE).
• International Childbirth Education Association (ICEA).
• Lamaze International.
• Any state nurses association or board of nursing. (Must relate to pregnancy, birth, postpartum, or breastfeeding issues.)
• Some programs provided by professional associations or health-care agencies. (Must relate to pregnancy, birth, postpartum, or breastfeeding issues.)

Other educational events must be submitted for approval and must provide a certificate of attendance with hours stated, and a detailed outline of the information that was presented, speakers, location, date, etc.