Karen Kerkhoff Gromada, MSN, RN, IBCLC, FILCA was accredited as a Leader in 1975. She formed the first LLL group for mothers of multiples after the birth of her twin sons and still leads this group. The experiences of the group’s mothers provided the basis for her book Mothering Multiples: Breastfeeding and Caring for Twins or More. Her numerous articles and chapters about breastfeeding multiples have been published in professional and lay publications. An IBCLC since 1991, Ms.Gromada has worked as a lactation consultant in both a private practice and hospital settings. She also has experience as an adjunct clinical instructor for the University of Cincinnati College of Nursing and in labor and delivery, childbirth education and postpartum discharge nursing care. A former International Lactation Consultant Association (ILCA) president (1994-96), she was designated Fellow of the International Lactation Consultant Association (FILCA) in 2008.