A lactation consultant is a health professional who specializes in the clinical management of breastfeeding. The International Board of Lactation Consultant Examiners (IBLCE) certifies lactation consultants who meet its criteria and have passed its exam. [1]
Lactation consultants are trained to assist parents in preventing and solving breastfeeding difficulties [2] such as sore nipples and low milk supply. They commonly work in hospitals, physician or midwife practices, public health programs, and private practice. In the United States, lactation consultants are often nurses, midwives, nurse practitioners, and dieticians who have obtained additional certification. [2]
The IBLCE was founded by a group of La Leche League leaders who wanted to professionalize the skills they had developed while working with breastfeeding individuals. [3] [2] Candidates can choose various pathways to qualify, including options for current health professionals and volunteers, through college or university academic programs, or through mentoring. [4]
An International Board Certified Lactation Consultant (IBCLC) may use the post nominals IBCLC and/or RLC after their name. The International Lactation Consultant Association (ILCA) is the professional association for lactation consultants. [5]
IBCLCs undergo specialized training to assist families with breastfeeding, milk production issues, and pump management issues. IBCLCs must meet certification requirements for education and clinical experience, and pass an examination. IBCLCs must also re-certify every five years with 75 continuing education hours every five years or take an examination. [6]
Exclusive and partial breastfeeding are more common among individuals who gave birth in IBCLC-equipped hospitals. [7] In maternity hospitals, a ratio of one IBCLC for every 15 postpartum individuals is suggested. [8] The U.S. Surgeon General recommends that all communities ensure access to services provided by IBCLCs. [9] Evidence found that breastfeeding interventions including lactation consultants and counselors increased the number of individuals initiating breastfeeding. [10] A systematic review on characteristics and outcomes of postpartum care found that when individuals receive care from a lactation consultant they are more likely to present higher rates of any breastfeeding at six months (but not at one or three months), and higher rates of exclusive breastfeeding at one or three months. [11]
A doula is a non-medical professional who provides guidance for the service of others and who supports another person through a significant health-related experience, such as childbirth, miscarriage, induced abortion or stillbirth, as well as non-reproductive experiences such as dying. A doula might also provide support to the client's partner, family, and friends.
The postpartum period begins after childbirth and is typically considered to last for six weeks. There are three distinct phases of the postnatal period; the acute phase, lasting for six to twelve hours after birth; the subacute phase, lasting six weeks; and the delayed phase, lasting up to six months. During the delayed phase, some changes to the genitourinary system take much longer to resolve and may result in conditions such as urinary incontinence. The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most maternal and newborn deaths occur during this period.
La Leche League International (LLLI) is a non-governmental, non-profit organization that organizes advocacy, education, and training related to breastfeeding. It is present in about 89 countries.
The World Alliance for Breastfeeding Action (WABA) is a network of people working on a global scale to eliminate obstacles to breastfeeding and to act on the Innocenti Declaration. The groups within this alliance tackle the problems from a variety of perspectives or point of views, such as consumer advocates, mothers, and lactation consultants.
Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Nurses' postnominal letters reflect their credentials—that is, their achievements in nursing education, licensure, certification, and fellowship. The letters usually appear in the following order:
Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts. Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances, contraindicated.
Breastfeeding, variously known as chestfeeding or nursing, is the process where breast milk is fed to a child. Breast milk may be from the breast, or may be pumped and fed to the infant. The World Health Organization (WHO) recommend that breastfeeding begin within the first hour of a baby's birth and continue as the baby wants. Health organizations, including the WHO, recommend breastfeeding exclusively for six months. This means that no other foods or drinks, other than vitamin D, are typically given. The WHO recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 years and beyond. Of the 135 million babies born every year, only 42% are breastfed within the first hour of life, only 38% of mothers practice exclusive breastfeeding during the first six months, and 58% of mothers continue breastfeeding up to the age of two years and beyond.
Breastfeeding promotion refers to coordinated activities and policies to promote health among women, newborns and infants through breastfeeding.
Mary Rose Tully MPH IBCLC was an American lactation consultant, director of the Department of Lactation Services at the University of North Carolina's Women's Hospital, and an adjunct clinical instructor of pediatrics at the University of North Carolina's School of Medicine. She researched and helped to expand knowledge of human breast milk. In the mid-1970s, she helped establish the non-profit Piedmont Milk Bank, now known as the WakeMed Mothers' Milk Bank and Lactation Center located in Raleigh, North Carolina. She was a founding member of the Human Milk Banking Association of North America in 1985 and received a lifetime achievement award from the organization in 2007.
Dysphoric milk ejection reflex (D-MER) is a condition in which women who breastfeed develop negative emotions that begin just before the milk ejection reflex and last less than a few minutes. It is different from postpartum depression, breastfeeding aversion response (BAR), or a dislike of breastfeeding. It has been described anecdotally many times, yet one of the earliest case studies on the condition was only published in 2011, and not much research was done prior to that. Even in 2021 when the first review of published literature was done the authors noted that health care providers were still "barely [able to] recognize D-MER."
Diana West is a leading lactation consultant and author specializing on the topic of breastfeeding.
Chris Mulford was a prominent advocate of breastfeeding in the United States and globally.
Diane Wiessinger is an American breastfeeding advocate, author and researcher who is known for her essay "Watch your language!", which asserts that breastfeeding is normal, not superior. The term "Wiessingerize" in the circles of breastfeeding advocates means to talk about breastfeeding as the norm to which other forms of nurturing and nourishing children is compared.
Nils Bergman is a Swedish specialist in perinatal neuroscience and a promoter of skin-to-skin contact between a mother and newborn.
Postpartum care or postnatal care is a service provided to individuals in the postpartum period, to help with postpartum recuperation and restoration.
Trevor Kirczenow is a transgender health researcher and diabetes healthcare advocate. He is an author and community organizer in the field of LGBTQ lactation and infant feeding. He has run twice as a candidate for the Liberal Party of Canada.
In breastfeeding women, low milk supply, also known as lactation insufficiency, insufficient milk syndrome, agalactia, agalactorrhea, hypogalactia or hypogalactorrhea, is the production of breast milk in daily volumes that do not fully meet the nutritional needs of her infant.
Delayed onset of lactation (DOL) describes the absence of copious milk secretion (onset of lactation) within the first 72 hours following childbirth. It affects around 20–40% of lactating women, the prevalence differs among distinct populations.
Nipple pain is a common symptom of pain at the nipple that occurs in women during breastfeeding after childbirth. The pain shows the highest intensity during the third to the seventh day postpartum and becomes most severe on the third day postpartum.
