Growing the IBCLC Workforce: A Florida Needs Assessment

Eden, Aimee R.; Anstey, Erica Hesch; Orriola, Deidre

doi:10.1177/0890334417739580

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…However, access to skilled lactation services is not geographically equitable [10]. For example, Florida, the third most populous state in the nation and the setting of this study, falls well below the recommended and national average of International Board Certified Lactation Consultants (IBCLC) per 1,000 births [11].…”

Section: Introductionmentioning

confidence: 84%

Modesty and Security: Attributes Associated With Comfort and Willingness to Engage in Telelactation

Louis‐Jacques¹,

Schafer²,

Livingston³

et al. 2020

Preprint

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The objectives were to identify conditions under which mothers may be willing to use telelactation and explore associations between participant characteristics, willingness, and beliefs regarding telelactation use. Mothers 2-8 weeks postpartum were recruited from two Florida maternal care sites and surveyed to assess demographics, breastfeeding initiation, and potential telelactation use. Analyses included descriptive statistics and logistic regression models. Of the 88 participants, most were white, married, earned less than $50,000 per year, had access to technology, and were willing to use telelactation if it was free (80.7%) or over a secure server (63.6%). Fifty-six percent were willing to use telelactation if it involved feeding the baby without a cover, but only 45.5% were willing if their nipples may be seen. Those with higher odds of willingness to use telelaction under these modesty conditions were experienced using videochat, white, married, and of higher income. Mothers with security concerns had six times the odds of being uncomfortable with telelactation compared to mothers without concerns. While telelactation can improve access to critical services, willingness to use telelactation may depend on conditions of use and sociodemographics. During the COVID-19 pandemic and beyond, these findings offer important insights for lactation professionals implementing virtual consultations.

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Section: Introductionmentioning

confidence: 84%

Modesty and Security: Attributes Associated With Comfort and Willingness to Engage in Telelactation

Louis‐Jacques¹,

Schafer²,

Livingston³

et al. 2020

Preprint

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“…Clear, consistent differentiation of the levels of the scope of practice must continue to be a global discussion to address perceived inequities in the IBCLC requirements (Dodgson 2017; Walker, Aldridge, Fink, & Fenick, 2017). Eden, Anstey, and Orriola (2018) identified cost as the greatest barrier to IBCLC certification and recommended flexible course schedules and scholarships to address the need of those interested in serving underserved populations around the globe. Online educational forums should also be at the forefront of established curricula to insure access to education for those individuals who serve more remote communities.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the IBCLC: Have we Made an Impact on the Care of Breastfeeding Families Over the Past Decade?

2019

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Background: International Board Certified Lactation Consultants (IBCLCs) have been in existence for over 3 decades, are currently represented in 110 countries, and have the only internationally recognized certification to provide safe and evidenced-based care for breastfeeding women and their infants. Research aim: To review the literature about the efficacy of IBCLCs on breastfeeding outcomes as well as studies that have examined the effectiveness of the IBCLC’s role. Methods: The design was a scoping review of the literature and critical analysis using PRISMA guidelines of existing studies published from 2008–2019. Qualitative and quantitative studies were reviewed. Results: Twelve ( N =12) studies met inclusion criteria. Seven themes emerged in the analysis including studies of the role of IBCLCs in resident physician education; IBCLC’s role in breastfeeding interventions and the management of breastfeeding problems; the impact of IBCLCs in inpatient and outpatient settings; and the impact of geographic access to IBCLCs on breastfeeding rates. Certification of and ongoing professional development of IBCLCs are also discussed. Conclusion: In this scoping review of existing literature assessing the effectiveness of IBCLCs in promoting and supporting breastfeeding, it is clear that IBCLCs play a positive role in supporting breastfeeding throughout the world. However, there are certain limitations that must be addressed. Recommendations for future research and clinical practice are discussed in the context of present limitations to breastfeeding expertise and support.

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“…External factors including ongoing support from peers and medical professionals has been associated with longer duration of breastfeeding (Edwards et al, 2017;Zhuang et al, 2019). Mothers who seek assistance from International Board-Certified Lactation Consultants (IBCLCs) are more likely to be successful with exclusive breastfeeding at 1 and 6 months of age (Baño-Piñero et al, 2018;Eden et al, 2018;Patel & Patel, 2016). Early use of formula in the hospital is associated with shortened breastfeeding duration within the 1st year of life, showing the importance of a team-based approach in the hospital (McCoy & Heggie, 2020).…”

Section: Introductionmentioning

confidence: 99%

Influence of Early Lactation Assistance on Inpatient Exclusive Breastfeeding Rates

et al. 2020

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Background Human milk feeding reduces the incidence and costs of several maternal and childhood illnesses. Initiation and success of human milk feeding are influenced by race, socioeconomic status, and family support. The influence of early in-hospital lactation assistance in breastfeeding success has been not well described. Research aims We aimed to determine how suspected known factors influencing breastfeeding success influence in-hospital human milk feeding rates. Second, we aimed to examine how timing of lactation assistance is related to success of human milk feeding during the newborn hospitalization for healthy infants. Methods We conducted a retrospective cohort study of term infants born between January 1, 2014 and December 31, 2016 at a large tertiary academic hospital. We considered “success” to be 100% human milk feeding during the birth hospitalization, and compared differences in success by demographics, payor, race, and initial feeding preference. Influences of lactation assistance on success were analyzed using multivariable logistic regression. Results Mean success with exclusive human milk feeding among 7,370 infants was 48.9%, ( n = 3,601). Successful participants were more likely to be 39–40 weeks’ gestation (64.9%, n = 2,340), non-Hispanic/non-Latino (80.0%, n = 2,882), and using private insurance (69.2%, n = 2,491). Participants who had early feeding assisted by an International Board Certified Lactation Consultant (IBCLC) before being fed any formula were more likely to be successful than participants who had a feeding assisted by a non-IBCLC nurse (80% vs. 40% respectively). Conclusions Success for exclusive human milk feeding during newborn hospitalization is strongly associated with several factors. Early intervention with IBCLCs can greatly improve breastfeeding success.

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Growing the IBCLC Workforce: A Florida Needs Assessment

Abstract: Due to the high level of interest in an IBCLC training program in Florida, a formal lactation training program may be successful in attracting diverse students, particularly if funding and program flexibility needs are met.

Cited by 4 publications

References 16 publications

Modesty and Security: Attributes Associated With Comfort and Willingness to Engage in Telelactation

Modesty and Security: Attributes Associated With Comfort and Willingness to Engage in Telelactation

Effectiveness of the IBCLC: Have we Made an Impact on the Care of Breastfeeding Families Over the Past Decade?

Influence of Early Lactation Assistance on Inpatient Exclusive Breastfeeding Rates

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